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Welcome to the Power of One Self-defensive Institute Creating Champions in Life (562) 9972987 www.powerofonekarate.com PARTICIPANTS NAME BIRTHDATE / / AGE M F PARENT/GUARDIAN NAME(S) ADDRESS CITY
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Deusen powerofonekarate SELFDEFENSE COURTESTY EXLAIN BIRTHDATE indemnify undersigned arising introductory contemplated promoters incur PARTICIPANT collectively PARTICIPANTS WAIVER individually GUARDIANS PRODUCTIONS hereafter participating operators assist

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