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01/06/2021 at 11:35 am #1529

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ACKNOWLEDGMENT. I do hereby swear and affirm; 1) I am an adult; 2) I am in good physical condition; 3) I understand and agree to all terms and conditions of the Goju-Ryu Karate-Do Kyokai (GKK) as set forth in the GKK Membership Application; and 4) I hereby waive liability, assume all responsibility and hold Goju at Home, Dennison Management Group LLC, Goju-ryu Karate-Do Kyokai, and/or their agents and employees, harmless for any injuries or other damages I may sustain or cause others, including those occasioned by negligence.

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