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On the Mark Archery Waiver
Event / Class / Program Title
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Archer Info
First Name (s)
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Last Name
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Location
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City / Town
State / Province / Region
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
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Australia
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Bouvet Island
Brazil
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Burundi
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Cameroon
Canada
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
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Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
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Denmark
Djibouti
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Dominican Republic
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Iraq
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Poland
Portugal
Puerto Rico
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Romania
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Virgin Islands, U.S.
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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.
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