THE KING OF ALL TRADES
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Cirque And Destroy Safety Waiver/ Liability Agreement Form
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Name
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First
Last
Email
*
I have read and understand Cirque and Destroys Safety and Liability Waiver and submit myself to all it includes.
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I agree and understand.
In the event I am injured or hospitalized and or require medical assistance, my Emergency Contac is:
Emergency Contact
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Last
Emergency Contact Phone #
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Please Re enter your first and last name as written above and confirm form for accuracy
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This form is accurate and I have not provided any false information
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I agree
Sign and Send My Safety Waiver
Cirque Sundays
Home
Octoboros
Tattoo Portfolio
ParenthesisX
Fire Performer
Cirque And Destroy
Cirque FAQ
FIRE TAG
Safety Waiver
Cirque Sunday
Fire Performance
About Cirque
>
Calendar
Modeling
Barbarian Bombshells
Clothing Line
Bad Wolf Collective
Patreon
CULT
Holiday Cards