BirthdayWaiver | Jeon's Judo Taekwondo

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jeonsjt@gmail.com

(678) 982-5951

4961 Lower Roswell Rd Suite 105

Marietta, GA 30068

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Birthday Balloons

Name of Child(ren)

Parent / Legal Guardian's Name

Phone

Email

I represent that I am the parent or legal guardian of the child(ren) named above, or I have obtained permission from the parent/legal guardian to execute this agreement on their behalf.

I understand that during the event, pictures/videos are taken that are often used in JJT’s social media , website, printed publications, etc.

I understand injuries can occur and hereby release JJT, representatives and agents from liability for any injuries or damages occurring while at JJT facility or otherwise.

Signed

Date

Thanks for submitting!

Jeon's Judo Taekwondo

jeonsjt@gmail.com

(678) 982-5951

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