Waiver of Text Communication Form

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Faith in the Fight, Inc. communication through text messaging waiver

Email *

Name (First and Last) *

Date of Birth *

YYYY

Phone Number (Include Area Code) *

I agree to text message communication with my cancer coach from Michigan Faith in the Fight, I understand that my cancer coach takes my privacy very seriously and would never share any personal information about me, although I understand through text message communication there is always the possibility of third party breach of information. *

I agree to text message communication with Faith in the Fight inc., I understand there is always a risk of third party privacy breach and will not hold Faith in the Fight, inc. liable for any text message exchanges.

I do not agree to text message communication with Faith in the Fight, inc.

A copy of your responses will be emailed to the address you provided.

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