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First Name

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Date of Birth

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Liability Waiver

Parent / Guardian

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Relationship to Minor

I have read and agree to the liability waiver, assumption of risk, release, and emergency authorization above.I understand that photography and video recording may occur inside Inferno Performance during training, classes, events, and normal facility operations, and that I or my child may appear incidentally in that recording.I certify that I am the minor participant's parent or legal guardian, or otherwise have legal authority to sign this waiver on the minor's behalf.

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Typing your name and submitting this form is intended to serve as your electronic signature. Keep a copy of this waiver for your records.

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