MINOR GAME WAIVER

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Legal Guardian Name

Phone Number

Date of Birth

Game/Event

Number of Children

1) Child Name

1) Gamer Display Name

1) Dominant Hand

1) Gender

2) Child Name

2) Gamer Display Name

2) Dominant Hand

2) Gender

3) Child Name

3) Gamer Display Name

3) Dominant Hand

3) Gender

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MINOR GAME WAIVER

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