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GellyBall & Mechanical Bull

Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.

First name

Last name

Email

Are you experiencing any flu symptoms?

No

Yes

Date

Initials

I confirm that the information given in this form is true

Email

I agree to the terms & conditions and Waiver presented on the Terms and Conditions Website page of BarSocialrva. Please be advised there is a 250lb weight limitView terms and Conditions

Email

I agree to the terms & conditions

Select a date

Thanks for submitting! You are good to go

Contact

Phone

804-396-0279

6 N 19th street,

Richmond, VA 23219

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Service

:Online Ordering

:Party Reservations

Tues- Saturday: 5pm - 12am
Sun: 11am - 10pm

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