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LEADVILLE CO JUN 30 JUL 1-2 2023 LIABILITY WAIVER
NOTE WE HAVE ADDED THE LIABILITY WAIVER BELOW- PLEASE READ AND ACKNOWLEDGE YOUR CONSENT
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Last Name
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First Name
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ENTRY DAYS- Please select ALL DAYS you are entered at THIS EVENT to compete with your dog(s)
ELT FRIDAY JUNE 30 2023
NW3 SATURDAY JULY 1 2023
NW2 SUNDAY JULY 2 2023
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COMPETITOR LIABILITY WAIVER AND INFORMED CONSENT I have read, understand and agree to the Liability Waiver BELOW. My PRINTED NAME here with DOCUMENT DATE STAMP shall function as my signature to this WAIVER AND RELEASE.
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NO- I DO NOT AGREE TO THIS WAIVER AND UNDERSTAND I MAY BE ASKED NOT TO ATTEND
I CONSENT ON BEHALF OF A MINOR CHILD LISTED ABOVE AS FIRST AND LAST NAME
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FULL NAME- PRINTED AS SIGNATURE- I have read and agree to the Liability Waiver below.
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Name of Dogs at Event Location
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