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Movement with Alicia 

at Tangy's Indoor Archery Lanes 


I waive any possibility of personal damage that may be attributed to the teacher (Alicia A. Fogell), the facility (200 Bald Hill Road Warwick, RI 02886), or the program being taught. Alicia A. Fogell- Sol Warrior LLC and Tangy's Indoor Archery Lanes shall not be liable for any injury, loss or damage to property or persons. I do not have any physical conditions or disability that would limit my participation or preclude an exercise/ stretch/ or energetic program. 


Are there any injuries or health conditions Alicia should know about to make the session experience more enjoyable? Please write N/A if none. *
First Participant's Name
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First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
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Participant's Date of Birth*
Date of Birth
Third Participant's Name
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Fourth Participant's Name
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Fifth Participant's Name
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Sixth Participant's Name
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Seventh Participant's Name
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Eighth Participant's Name
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Ninth Participant's Name
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Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
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Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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