Permission, waiver of liability and medical consent form minor child s name: birth date: parent s/legal guardian s name: phone: ( ) address: (street) (city) (st) (zip) permission & liability waiver i, the parent/legal guardian, do hereby give...
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General release and assumption of risk agreement for minors waiver of liability and assumption of risk agreement (please initial each page.) we, (parents names), , the undersigned and parents and legal guardian of (minors name) (hereinafter...
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Performer release form for a minor child (commercial) producer: advertising agency: sponsor: commercial title: job number: note: minors are only allowed to be on set for the maximum number of hours as stated in the sag rules. 1. i/we, the...
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I hereby authorize true wind media, llc, and its client, the episcopal diocese ofwestern michigan, to publish the photographs taken of me, and the surroundingsincluded in those photographs, for use in any and all media without restriction forany...
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Norman blum, m.d. danine fruge, m.d. maurice laszlo, m.d. yanelis martin, m.d. ronald j. scheib, m.d. minor release and consent general release as the parent/legal guardian of (the child), i assume the risk with respect to the childs visit to...
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South carolina department of motor vehicles release on behalf of a minor (motor vehicle financial responsibility act) fr-202a (est. 8-03) to: s.c. department of motor vehicles financial responsibility p.o. box 1498 blythewood sc 29016-0040 the...
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Standard photo release form for minor childreni hereby authorize the adelante ministries and ysleta lutheran mission human care to publishphotographs taken of me and/or the undersigned minor children, and our names, for use in theadelante...
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Standard photo and general release form friends of manhasset crew, inc. i hereby authorize friends of manhasset crew, inc. ( "fomc ") to publish the photographs taken at crew regattas, team practices, and other fundraisers of me and/or the...
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Standard photo release form for minor children i hereby authorize the city of farmington to publish photographs taken of me and/or the undersigned minor children, and our names, for use in the city of farmington s printed publications and website....
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General consent release form the ucf college of medicine m.d. program has generated significant interest from the community, locally and nationally. from time to time ucf college of medicine is requested to give basic information about students....
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Emergency medical consent form has my permission to obtain emergency medical treatment for my child, when i cannot be reached or if a delay in reaching my child would be dangerous for him/her. mother/guardian s name home phone cell phone e-mail...
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Medical release form for minors attending with a guardian name of minor child: age: date of birth: we, the undersigned parent(s) or legal guardian(s) of the above-named minor, know that i may not be available to authorize medical care of said...
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