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Free Aiki Dojo - Golden Bears Aikido - Peace Pratices Participation Waiver
This form is a legal document which must be signed as part of participation in any Free Aiki Dojo, Golden Bears Aikido Club, and Peace Practices classes.
This information allows us to associate your agreement and release with you or your child.
Where do we find each other? Please select all that apply.
Aikido of Berkeley
Beacon Day School
The Flight Deck (Downtown Oakland)
Free Aiki Dojo - Golden Bears Aikido
Oakland, City of
Pacific Rim International School - Emeryville
Pacific Rim International School - San Mateo
Public Seminar (e.g. TSYR)
Richmond, City of
Info required when signing for a minor - skip otherwise
Relationship to child(ren)
Full Name of first child:
Date of Birth of first child:
Full Name of second child:
Date of Birth of second child:
Anything we need to know (medical/developmental issues/concerns?)...
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