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I hereby authorize the staff of
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to act for me accordingly to their judgment in any emergency requiring medical attention, and hereby waive and release
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and its staff from any and all liability for injuries or illness incurred while in the studio. I have no knowledge of any physical impairment that may affect the above named student participation in the Tae Kwon Do program, and have read and understand the terms, rules and conditions outlined in the accompanying material including the student enrollment agreement.
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