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Name of Registrant #2

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Name of Registrant #3

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Disclaimer

All adult registrants will confirm that this Disclaimer has been read and understood by checking the box below. Electronic Signature is accepted as an electronically printed name and electronic date on this submission form. I understand that I am a guest of The Pagan Assembly of Nova Scotia. I agree to take all precautions to protect my health and safety during my stay. I agree that I will not take legal action against the owners of The Pagan Assembly of Nova Scotia or their successors, for any harm that may occur to me or my property for any reason, in addition to resulting from theft, natural disaster, or acts of the Gods. The land called “Rivergrove”, et al and its owners, shareholders, partners, agents, representatives, and employees shall not be liable for any loss or damage, irrespective of origin, to person or to property, whether directly or indirectly caused by performance or non-performance of obligations of SRivergrove, et al for any reason or by negligent acts or omissions of Rivergrove, et al its agents or employees. I hereby waive and release any rights of recovery against Rivergrove, et al and its owners, shareholders, partners, agents, representatives, and employees that it may have at law or in equity. I have read and understand the rules and will adhere to them during my stay. Furthermore, I understand that if I fail to do so, I may be asked to leave, at the discretion of the organizers of Mother Maiden Crone Festival, without a refund.

Registrant 1

Registrant 2

Registrant 3

Registrant 4

Registrant 5