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<br />I have carefully read this form and fully understand its content. I am voluntarily <br />signing this waiver with knowledge of the rights I am giving up and the dangers involved <br />in the activity. <br /> <br />Printed Name <br /> <br />Badge # <br /> <br />Participant Signature <br /> <br />Witness: <br /> <br />Date: <br /> <br />Agency <br />