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THIS WAIVER AND RELEASE is made on ________ by me, ________, of the following address:
________
IT IS HEREBY AGREED AS FOLLOWS:
I, hereby waive, release and discharge ________, of the following address:
________
his or heirs, legal representatives, administrators, executors from the following liability/damage:
________
I HEREBY ACKNOWLEDGE AS FOLLOWS:
1. I have read this waiver and I fully understand it.
2. I make and execute this waiver voluntarily, without an form of cohesion.
IN WITNESS WHEREOF, I have executed this document this day and year first written above.
SIGNED by the within named ________
_____________________
in the presence of:
Address.............................................................................................................
Occupation........................................................................................................
Signature..........................................................................................................
Dear Sir/Madam,
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