ABC Digital 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.
Personal Information
This information allows us to associate your agreement and release with you or your child.
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Where do we find each other? Please select all that apply.
Required
Optional Info (required if signing for a child)
Relationship to child(ren)
Your answer
Full Name of first child:
Your answer
Date of Birth of first child:
Your answer
Full Name of second child:
Your answer
Date of Birth of second child:
Your answer
Anything we need to know (medical/developmental issues/concerns?)...
Your answer
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