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Get NY Brooklyn Boulders Participant Agreement

T Phone # _______________________ E-mail Address*________________________________________________________________________ Date of Birth ___/___/____________ Address ___________________________ City __________________ State _____ ZIP _____________________ Emergency Contact: Name____________________________________________________ Phone___________________________________________ Initial RELEASE OF LIABILITY AND ASSUMPTION OF RISKS THIS RELEASE IS A BINDING LEGAL CONTRACT. PLEASE READ IT CAREFULL.

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