CGA Waiver and Release

Offer Details

Please fill out the information on this page as well as the Next in order for your child to participate at CGA

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Participant First Name

Participant Last Name

Date of Birth

Mom/Guardian First Name

Mom/Guardian Last Name

Dad/Guardian First Name

Dad/Guardian Last Name

Email address

Mobile Phone Number

Address

City

State / Province / Region

Postal Code

Country

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	Waiver and Release	0.00
	Details Please Fill out the waiver on the following page

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Waiver and Release:

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