2013-04-19■
NAME: SCJI(7Zn ldc v'
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In consideration of being permitted to gain access the City of Blair property
cC KL Lo+ , the undersigned assumes all risks
of damage or loss either to his / her person or property from any and all causes, including
but not limited to negligence, violation of law, or willful misconduct on the part of the City
of Blair, its employees or agents, during the time the undersigned has access to the City
of Blair property indicated above. It is understood that the City of Blair, it's employees or
agents, shall incur no liability or obligation to the undersigned, his / her heirs, successors
or assignees for any damages, injury or other loss that the undersigned may have as a
result of his/her gaining access to City of Blair property. Further, the undersigned must fully
comply with all safety requirements of the City of Blair.
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Printed Name: -