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LIC Springs | FMS Waiver | June 18th 2022
I am 18+ years old and/or I have parental consent to participate
I hereby acknowledge this release of, True North Physical Therapy PLLC, from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to voluntarilarly participate in this program.
I declare that the info I’ve provided is accurate & complete