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I declare that the info I’ve provided is accurate & complete. I understand the use of protective equipment is strongly advised including helmets, knee & elbow pads, and wrist guards. I'm skating at my own risk.
I hereby acknowledge this release from liability for accidental injury or death which I may incur as a result of participating in any physical activity here. I hereby assume all risks connected with and consent to participate. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program safely.
Initials (Guardian if under 18)
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