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WAVIER FORM
Booking Information
Who booked the session?
*
Date of session
*
Personal Information for Participant (18+)
or
Parent/Guardian of Minor Participant (ages 5-17)
First name
*
Last name
*
Email
*
Phone
*
Date of Birth
*
Month
Month
Day
Year
Address
*
Information for Minor Participants (ages 5-17)
Please list first and last names of all minor participants (ages 5-17) or indicate "not applicable"
*
Signature of Participant 18+ or Parent/Guardian
*
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Date
*
Submit
Your completed waiver will be sent to us upon clicking submit. Thank you for your submission!
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