Lumpkin county high school band of gold andrew harwood, director 2001 indian drive dahlonega, ga 30533 email: aharwood lumpkin.k12.ga.us band room phone: 706-864-6186 ext. 1014 ? lchs medical release form student s name: instrument grade date of...
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Peabody conservatory of music, office of financial aid parent tax filer verification of 2015 income (dependent student) your 20162017 free application for federal student aid (fafsa) was selected for review in a process called verification. the...
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Carolina youth symphony parental release & consent form medical information form/photo consent 20152016 cys parent/guardian this form gives your permission for your child to participate in cys activities, accepts responsibility for any damages...
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Securities and exchange commission form 8-k current report filing filing date: 2014-02-12 period of report: 2014-02-11 sec accession no. 1354488-14-644 (html version on secdatabase.com) filer dara biosciences, inc. cik:919745 irs no.: 043216862...
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Parental agreement: my child has permission to participate in supervised activities on campus. campers who vandalize or willfully destroy or damage sportime property will be held accountable. our staff inspects the properties on a regular basis....
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Generic media release form high school.pdf download here parental/guardian consent form state http://.state.nj.us/education/techno/idconsent/form.pdf parental/guardian consent form and/or schools web site. we will not release any personally...
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Hope chapel of sterling dates covered: 1 september 2015 31 august 2016 authorization for emergency medical treatment students name (last) (first) address city state zip code phone date of birth gender: m f in an emergency notify phone ( family...
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Parental consent form for tuberculosis skin test and (for teens only) i hereby give my permission for my daughter/son, , to have annual tuberculosis skin test done. i understand that there is no charge for this service. print name of parent or...
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Membership form 2016 calendar year to complete this form online visit: .cbhd.org/membership contact information: title name mailing address city state/province country zip/postal code preferred email home phone professional information...
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Trinity christian school medication release form (last updated may 2007) i, the undersigned, request and authorize the staff of trinity christian school to administer medication to in grade . name of medication dosage time duration to to i...
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Student health, wellness & prevention parent release for the administration of medicine student name address birth date home phone grade work phone parent consent i(we), the undersigned, the parent(s)/guardians of the above named pupil, request...
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Circle middle school concussion & head injury information release form 2013-2014 this form must be signed by all student athletes and parent/guardians before the student participates in any athletic or spirit practice or contest each school year....
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Archdiocese of galvestonhouston epiphany office of evangelization parental/guardian consent form & liability waiver participants name date of birth home address city/zip code parent(s)/guardian(s) parent contact # text? y / n youth contact # text?...
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Medical release form this form must be signed and notarized. name of church: city/state: name: social security #: birthdate: / / age: sex (m/f): address: city: state: zip: parent/guardian: home phone:( ) work phone:( ) secondary contact to notify...
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