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Please fill out, Print, and bring with you to Good Shepherd
I give my child, (name of parent or guardian) (name of child)
permission to attend (name & place of event)
Time: from AM PM to AM PM
Date:
In case of an emergency, I can be reached at: phone
In the event that I can not be reached, I give permission for her him to be treated. If my child does not abide by the rules of the event, i understand that i will be required to pick up my child earlier than planned.
Signature of parent/guardian: _____________________________________________
Date: ___________________________
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