Whitney m. young magnet high school 211 s. laflin street chicago, il. 60607 parent/guardian release form for tedx event. i give permission for to participate in activity. students name division # the activity will be held in the theater of whitney...
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Parental consent / medical treatment form beck's baptist church youth ministry activities and retreats i, the undersigned parent or guardian of , do hereby authorize adult workers with the youth of beck's baptist church to consent to any...
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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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Cornell cooperative extension orange county plant, insect, and soil sample form info hours of drop off: 8:30 am to 4:00 pm monday through friday cornell cooperative extension does not do: mushroom id snake id spider id feces id on the spot...
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Release formby signing this release form, i authorize the community health care association of new york state (chcanys) to usethe following personal information:(1) my picture ? including photographic, motion picture, and electronic (video)...
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Non-medical transportation request form this program is funded by the long term care ombudsman program and administered by the connecticut agencies on aging this completed form should be faxed to kathy chase at senior resources; 860-886-4736. name...
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School district of hillsborough countymedical release formthis form is used to record parental permission for medical and surgical treatment in case medical concerns arise during a field trip.we, the undersigned as the parents and legal guardians...
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(bounce i, llc) participant agreement, release and assumption of risk please print and fill out completely. complete electronically at .skyzonesports.com parent/guardian/participant (if 18 or older): first name street address cell phone last name...
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St. viator high school off-campus activity release form student name: grade level: destination: vital bridges date of trip: homeroom educational purpose: service moderator: svhs faculty/staff means of transportation: school van departure time:...
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Gaston college parental acknowledgement form for fire and rescue training i (parent/guardian name) give permission for my child (student name), who is between the age of 16 and 18 and is a member of a bona fide fire department as defined in g.s....
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Student transportation release southern indiana career and technical center x entire school year temporary career and technical program: am pm i am requesting that my child, , be allowed to drive from (home school) to the southern indiana career...
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Dunn parks & recreation summer programs registration, emergency, and liability release form summer camp(s): campers name: address: city: state: zip: camper?s date of birth: age: name of parent/guardian: emergency phone #?s: home: work: cell:...
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School transportation please contact josh bacchus or the school office to reserve a ride for the coming school year. email: jabacchus biblecenterchurch.com school office: 3043460431. full name of student full name of student full name of student...
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Wisdot cy 2010 (fy20112014) smip application sample only, do not use project eligibility the project must be submitted by an eligible local sponsor. the project must fall within one of 12 qualifying te categories and/or bpfp requirements. the...
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Release of lien by legal owner north dakota department of transportation, motor vehicle division sfn 2876 (rev. 01-2013) motor vehicle division nd department of transportation 608 e boulevard ave bismarck nd 58505-0780 telephone (701) 328-2725 fax...
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