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WAIVER AND RELEASE OF LIABILITY & PUBLICITY RELEASE AGREEMENT I, (Print Complete Name) My date of birth is: My primary residence is: , intending to be bound, do hereby state as follows:
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Document Date: 2013-12-22 08:30:27
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WAIVER AND RELEASE OF LIABILITY & PUBLICITY RELEASE AGREEMENT I, (Print Complete Name) My date of birth is: My primary residence is: , intending to be bound, do hereby state as follows: