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Coolin Out Ice Cream Truck LLC (Shorty) Liability Waiver Release Form

Please fill out the following form
in order to participate in our activity.

First name

Last name

Email

Date of Birth * required

Initials

I declare that the info I’ve provided is accurate & complete

If under 18, I verify that initals are of Parent/Gardian

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CoolinOutIceCream@Gmail.com 336.708.6416

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