Living Waters
In exchange for participation in the activity of a Christian outreach experience (“Outreach”) organized by Robert Bradley Riegg, Marcy Shaffer Riegg, Living Waters Adventures, and Living Waters Spanish ("LWS"), of 112 NW 3RD AVE, CANBY, Oregon, 97013 and/or use of the property, facilities and services of LWS, this authorization and consent for release of personal information acknowledges ... ................
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