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Indemnity Form Please write neatly in CAPITAL LETTERS FIRST NAME: SURNAME: AGE:CELL PHONE/TEL:EMAIL: TOWN/CITY: By my signature hereto, I acknowledge that I participate in the CANS Marathon event
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cansa shavathon organisers successors appointees dependants indemnify howsoever afflicting hereto disfigurement indemnity limitation arising za thereto warranted indirectly tel collectively participants surname org neatly deemed participating intentional

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