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General Consent, Release & Waiver -Mochi Donut House Arcade
First name
Last name
Email
Date of Birth
Signature (type name)
If more than 1 participant, check box and fill out info for each individual.
First name
Last name
First name
Last name
First name
Last name
I declare that the info I’ve provided is accurate & complete
*I agree to terms & conditions.
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