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🏠︎ 1110 Red Top Orchard Rd, Waynesboro VA 22980 ☏ 540-949-KART (5278)
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RELEASE AND WAIVER OF LIABILITY
ASSUMPTION OF RISK AND INDEMNITY
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add age Signature
Name (Must be age 18+)
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Email
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Phone
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Child's Name (Must be age 3-17)
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Child's Name (Must be age 3-17)
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Child's Name (Must be age 3-17)
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First
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Child's Name (Must be age 3-17)
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First
Last
Child's Name (Must be age 3-17)
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Last
Release of Liability
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