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Contact information for Kids Class
I consent to my son / daughter / ward participating in the above mentioned course activity. I understand that, while every possible precaution and safety measure to ensure participant's well being and safety are taken,there are risks involved and I will not hold the company, management and the trainers or volunteers liable for incidents occurred during the activity. I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS. By submitting this form with true information given, I hereby understood and agreed to the above statement.
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Name of Child (1) *
Date of Birth *
MM
/
DD
/
YYYY
Name of Child (2)
Date of Birth
MM
/
DD
/
YYYY
Name of Parent / Guardian *
Email *
Nationality *
Address *
Phone number *
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