Youth medical waiver / general permission form september 1, 2013 august 31, 2014 please print please print youth name birth date grade parents / guardians names street address city state zip home phone ( ) mother s cell ( ) youth cell ( ) father s...
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Athens administrators california claims kit v7 california claim kit attachments notice to employees (dwc 7) must be posted workers compensation claim form (dwc 1) & notice of potential eligibility employer s report of occupational injury or...
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Overnight x outofstate off campus offcampus school activity parent consent/liability waiver/medical release this permission slip must be notarized student: student id# school: hms club/group/class: 7th grade supervising faculty member: crumpton...
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Hmc parental consent & emergency medical release form 20152016 permission slip for transportation & offcampus activities please note: parent and student must sign this form. kindly return completed form to hmcs faith formation office at your...
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Event permission slip & medical waiver form students name: parent/guardians name: address: phone #: cell # i hereby grant to said representative of mill springs baptist church permission for my child/children to attend awana clubs every wednesday...
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Glencoe high school parent permission slip mr. stanleys ap environmental class rock creek advanced wastewater treatment facility student name: student i.d.: date of site visit (circle one): dec. 17 jan. 28 feb. 25 mar. 17 trip permission: i, the...
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Parental waiver, release of liability, indemnification and consent formi, the undersigned, as the parent or legal guardian of the child named below, do herebygive my full consent and approval for my child to participate as a crew member on a...
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Minor s permission form, indemnification agreement, waiver, and general release ( release ) event event date lodge name and no. association (if applicable) i/we understand, recognize, and acknowledge that there are certain risks of injury to...
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Bmm convention 2015, los angeles play action parties professional event childcare phone: (626)8257629 .playactionparties.com 19360 rinaldi street, #337, porter ranch, ca 91326 info bmm2015.org 310 776 5593 http://bmm2015.org parent...
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Parent permission slip red lion recreation activity: e.y.c. basketball childs name gender: male female address email city zip code phone cell birthdate: grade jersey size(adult): small medium large xl we need coaches check here if interested i...
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Bungee run permission slip only must be signed and turned in no later than march 26th parent s approval and student waiver has my (our) permission to participate in the bungee run on name of minor march 26, 2014 at uchs. the undersigned parent or...
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Parent/legal guardian permission slip and indemnity agreement child/ward: parish: st. anthony on the lake designated supervisor of activity: confirmation small group leaders activity: 9th/10th grade interfaith senior service project date(s) and...
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Hemet unified school district parent permission, emergency medical and waiver of claims form field trip (specific activity) of (sponsoring school/class organization) school is planning: (field trip or activity) to clothing recommended: (regular...
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Cheat river outfitters, inc. waiver and release of liability parent permission read carefully in consideration of cheat river outfitters, inc. (here after referred to as cr0) furnishing services and/or equipment to enable my child to participate...
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Escondido fish and game association p. o. box 460506 escondido, ca 92046 .escondidofishandgame.com parent permission slip event: event date: authorization: my child or ward has my permission to participate in the event/activity described above. i...
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