MAKING A CHANGE PERFORMING ARTS COMPANY - PURE SOUL REGISTRATION FORM

PURE SOUL SINGING COMPETITION

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In consideration of the acceptance of my entry I the undersigned am legally bound for myself my heirs successors and assigns do hereby waive and release Making A Change Performing Arts Company Pure Soul its sponsors host venues and all persons and agencies connected with this competition from all claims for damages arising from my participation in and travel to and from this competition including without limitation personal injury. I certify that I am in good health physically fit and adequately trained to participate in this event. I grant permission to all the above mentioned to use my photos name and likeness for any purpose.
Signature of Participant (18 and over) (Printing Name Represents Signature)
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