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* 1. Contact Information

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* 2. Due to CoVid-19 restrictions, participants are subject to social distancing, mask requirements, and limited spacing. We ask for your cooperation during these times. Please respond below if you will follow these guidelines and will be attending.

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* 3. Dear Chris,

I testify that I am in good health, good physical condition, and I am able to participate in Tuesday evening Calienté. I further release the above Calienté instructor from any liability from any injury I may sustain by participating in this program. I agree that this waiver remains in force until the conclusion of the Program.

Signed, (Please type name below)

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