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WAIVER AND CONSENT AGREEMENT

I, undersigned employee of STARBOARD MANPOWER SERVICES INC., assigned at


_______________ as _______________. Further affirm that the company STARBOARD MANPOWER
SERVICES INC. And its client _______________ shall not be responsible for any accident of injury that may
arise/happen during the said event on _______________

Prepared and signed this _____ day of _______________, 2019.

_________________________
Print Name Over Signature

WAIVER AND CONSENT AGREEMENT

I, undersigned employee of STARBOARD MANPOWER SERVICES INC., assigned at


_______________ as _______________. Further affirm that the company STARBOARD MANPOWER
SERVICES INC. And its client _______________ shall not be responsible for any accident of injury that may
arise/happen during the said event on _______________

Prepared and signed this _____ day of _______________, 2019.

_________________________
Print Name Over Signature

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