Social Registration Form

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I hereby grant permission to Rollingwood Athletic Club to use my likeness and/or that of my child/children and/or family, whether through the use of photographs, film, videotape, or other media, for promotional and public outreach purposes. I understand that my likeness may be used in club publications, literature, the internet or other visual means that the club may choose to use to promote the club, its various departments and its activities. In connection with the above paragraph, I hereby release and waiver any claim I may have against Rollingwood Athletic Club, its owners or employees.

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Rollingwood Athletic Club

9373 Winding Oak Dr,

Fair Oaks, CA 95628

Phone. 916-988-1727