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4 Quarters Liability Waiver (All Participants Must Complete)
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6
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1
Name
First Name
Last Name
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2
Date of Birth
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Date
Year
Month
Day
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3
Phone Number
Please enter a valid phone number.
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4
Email
example@example.com
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5
Type a question
Adult (18+)
Minor (Under 18 – Parent/Guardian Signature Required)
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6
ASSUMPTION OF RISK
Signature
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