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Liability Waiver &
Appearance Release Form
First name
Last name
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Date of Birth
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Do you have a doctor’s permit to participate in intense physical activities?
No
Yes
Please specify anything we should know about
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
I hereby give my consent to use my photographs and other forms of media I am captured in according to the terms & conditions
I accept terms & conditions
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