OŚWIADCZENIE
Imię i nazwisko (rodzica/opiekuna)...........................................................................................................
Oświadczam, że jako rodzic/opiekun prawny wyrażam zgodę na skorzystanie przez
n/w dzieci z parku linowego Siwa Polana, zapoznałe(a)m dzieci z treścią regulaminu i pouczyłe(a)m je co do konieczności jego przestrzegania.
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Siwa Polana, data i podpis..........................................................................................................................
Dane osobowe służą wyłącznie do realizacji niniejszej usługi.