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Clinic Waiver

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Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

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January 27, 2021 4:22 pm EDT

Clinic Waiver Uploaded by Kelsey Lauberth - gasconhorsemanship@gmail.com IP 45.31.52.177