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Village Skatepark ATL
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Village Skatepark ATL
Individual Ride Waiver
First Name
Last Name
Email
Date of Birth
I am 18 years old or older.
My Parent/Guardian will complete this Waiver.
Zip Code
Phone
Social Media
Discipline
BMX
SKATEBOARD
SCOOTER
INLINE / ROLLER SKATES
VOLUNTEER
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EMERGENCY CONTACT
EMERGENCY CONTACT
Please specify anything we should know about you!
Initials
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. This release applies to Parcel 44, Bonfire ATL LLC, Atlanta Indie Market LLC, Tsohai Productions LLC, Tenth Street Ventures LLC, and Village Indoor Skatepark ATL Co.
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