ACKNOWLEDGEMENT FORM Yacht Charter & Boat Rentals

    ACKNOWLEDGEMENT FORM

    2017 Luxury Liners

    Los Angeles, California

    Guest Waiver and Release Terms and Conditions

    PARENTAL CONSENT

    I, the undersigned, acknowledge that I have been provided with the 2017 Luxury Liners Los Angeles, California, Guest Waiver and Release Terms and Conditions in connection with boat or yacht charter reservation number:_____________________________, reserved under the name of:___________________________, a copy of which is attached hereto (the"Conditions").

    As Guest is under 18 years of age, the undersigned hereby represents and warrants that he or she is the parent or legal guardian of the Guest and has the full right and authority to enter into the Conditions on the Guest's behalf, and, acting in such capacity, acknowledges and accepts the terms and conditions of the Conditions in their entirety. The undersigned further agrees to indemnity, defend and hold harmless each and all the Released Parties (as defined in the Conditions) from all liability, damages, claims, fees or costs whatsoever as may be imposed upon said Released Parties because of any defect in or lack of such capacity to so act.

    Signature of Parent/Legal Guardian:____________________________