By entering the last four (4) digits of my OSU ID (Note: OSU ID can be found on your BuckID.  It is the shorter of the two numbers)  [Fill in the blank],  and the Date [Fill in the blank],  I represent and certify that my true age is stated above.  Furthermore,  I acknowledge that I HAVE READ AND UNDERSTAND THE FOREGOING REQUEST AND RELEASE.   Multiple fill-in-the-blank

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