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Theatre33 classes and events liability waiver
Participant name
Date of Birth
Parent/Guardian name
Email
Phone
Do you have any medical problems/allergies?
No
Yes
Please specify anything we should know about
Signature
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.
Submit
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