Media Release

Jaiya Media Release Waiver

As a condition of your participation in this Program / Event presented by Jaiya, Inc./The Blueprint Breakthrough its owners, principals, officers, agents and employees the enrolled participant ("You" or "Your") agrees to the following terms and conditions (the "Waiver"):
THIS IS A LEGAL DOCUMENT WITH LEGAL CONSEQUENCES. BY AGREEING TO THESE TERMS AND CONDITIONS, YOU ARE GIVING UP RIGHTS YOU MAY OTHERWISE HAVE.

I agree to the above waiver:
Printed Name:(Required)
MM slash DD slash YYYY