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On the Mark Archery Waiver
Event / Class / Program Title
*
Name of the event
Archer Info
First Name(s)
*
*FAMILIES or PARENTS* - ADD MULTIPLE FIRST NAMES separated by a comma. Example: John, Jane and Joey Smith
Last Name(s)
*
Event Location
*
City / Town
*LEAVE DEFAULT LOCATION AS WALPOLE!*
Date of Birth
*
Month
Day
Year
**FAMILIES - ENTER THE PARENT / ADULT GUARDIAN DATE OF BIRTH**
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Dexterity
*
Left
Right
Are you Left or Right handed ?
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Height
Email
*
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Phone
*
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Bow Request
(For those who have attended an On the Mark Archery event previously.)
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Legal Guardian
Enter the name of your legal guardian.
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Legal Guardian Name
*
First
Last
Stay in touch
Stay Connected
*
Inform me about the next event.
I already receive updates from OTMA.
No, not at this time.
Stay Connected with Arts Boston & BLO
*
Inform me about the next event.
I already receive updates from OTMA.
No, not at this time.
- I consent to having follow up from ArtsBoston and BLO, and this confirms my eligibility for a ticket drawing valid for free tickets to a future 26/27 BLO performance of my choice, starting with Streetcar Named Desire. My information will not be shared with other organizations.
Liability
Waiver
*
By checking this box, I hereby agree to the terms described in the waiver / release
Viewable here
Photo and Video Notice
*
By checking this box, I hereby understand and agree that images or videos may be taken at this event by or on behalf of On the Mark Archery, LLC, its affiliates or third parties hosting this activity. The above named participants release image and video that may include them for use without financial compensation or additional permission. NO IDENTIFICATION WILL BE USED.
Signature
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Signature locked. Reset to sign again
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DevSection
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Token
*
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age
*
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