I, the undersigned, as the parent or legal guardian of the child/children named

Juliana Tiu, do hereby give my full consent to enter the warehouse.

I understand that the very nature of the Activity is hazardous and risky. I
understand that there are certain risks of bodily injury or property damage that may
occur inside the warehouse.

Further, I agree that in consideration for the right to allow my child/children to

participate in the Activity:

1. On behalf of my child/children and myself, I do voluntarily to accept and

solely assume all risks of damage, theft, and/or injury incurred or suffered
by my child/children:

Name of parent or legal guardian: Mike Harold Tiu

Signature of parent or legal guardian _______________________________

Complete address: ______________________________________________

Name of child/children: Juliana Tiu

Date signed ________________________