RESPONSIBILITY TO KEEP PVBCC INFORMED. If any of the information I have provided on this form changes, I agree to promptly inform PVBCC of such changes. I also agree to immediately inform PVBCC if I have been exposed to any communicable diseases prior to participating in any Activities. I REPRESENT THAT ALL INFORMATION I HAVE PROVIDED IS COMPLETE AND ACCURATE. I HAVE READ ALL OF THE FOREGOING, FULLY UNDERSTAND THE TERMS OF EACH, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MY SIGNING THIS FORM AND AGREEING TO THESE TERMS, AND AGREE TO THESE TERMS FREELY AND VOLUNTARILY AND WITHOUT INDUCEMENT. Signature of Participant Date
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Samples: Authorization and Liability Release Agreement, Authorization and Liability Release Agreement, Authorization and Liability Release Agreement