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Virginia / Geography of the United States / Nauticus / BE / Norfolk /  Virginia


PERMISSION, RELEASE AND HOLD HARMLESS FOR PARTICIPATION OF MINOR CHILD IN THE SAIL NAUTICUS SUMMER 2014 PROGRAMS Date: __________ Name of Participant: __________________________________________________________________
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Document Date: 2014-08-29 21:32:12


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City

Norfolk / /

IndustryTerm

digital imaging / web usage / personal flotation device / food allergies / /

MedicalCondition

allergies / food allergies / injury / diabetes / injuries / personal injury / /

Organization

Nauticus Foundation / /

Position

attorney / proficient and skilled swimmer / /

Technology

digital imaging / /

SocialTag