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Name_______________________________
Address_____________________________
___________________________________
City________________
State___________
ZIP___________
Phone________________
Signature____________________________
Name_______________________________
Address_____________________________
___________________________________
City________________
State___________
ZIP___________
Phone________________
Signature____________________________
Liability Release:
In Signing the agreement I hereby release the Abou Ben Adhem
Temple, their members and their officers from any and all
damages, claims, demands, costs, or expenses relating to
injury of any persons or any property which I may cause by
reason of participation in or connection with this tournament.
I further consent and grant the Abou Ben Adhem Temple the use
of any name, still pictures, video and voice likeness, and
background information in connection with the Abou Ben Adhem
Temple articles and press releases. I
further understand that I will not be entitled to receive
monies, royalties or other compensation from such
publications.
I signify by my signature that
I have read and understand the agreements numbered 1 & 2
above.
Signature_____________________ Date_______
Signature_____________________Date_______
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