KDA WAIVER AND HOLD HARMLESS AGREEMENT

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1. KDA Address: 17722 Oak Park Ave, Tinley Park IL, 60477 Phone: 708/212-3520 Email: keeshakarriem@yahoo.com (hereinafter referred to as the "Indemnitee" and(Required)
Address(Required)
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Indemnitee Signature
Name: KDA Owner, Keesha Karriem
Clear Signature
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Indemnitor Signature(Required)
Clear Signature
Participant Name(Required)
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