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Zia Park Win Loss Statements  Form

Zia Park Win Loss Statements Form

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Win/loss statement of my gaming activity derived from my Black Gold Club account. In consideration for this information, I hereby release Zia Park & Black Gold Casino, its parent and affiliated companies, and all of their representative officers, directors, employees and agents from any and all claims arising from or relating to the information and its release, and further agree to indemnify and hold those entities and persons harmless from any such claims. Account Holder’s...
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