Visitor'S Acknowledgement Of Risks Page 2
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2I have carefully read, clearly understood, and accepted the terms and conditions stated herein and
acknowledge that this agreement shall be effective and binding upon me, my heirs, assigns, personal
representative, and estate and for all members of my family, including minor children.
_______________________________
_____________________
Signature
Date
Signature of Parent of Guardian, if participant is under 18 years of age
_____________________________
_____________________
Signature
Date
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