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Washington Counfyschool District Parental Consentand Permission Iior

Washington Counfyschool District Parental Consentand Permission Iior

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Published by: api-25981522 on Feb 03, 2010
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02/03/2010

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Washington CounfySchool District PARENTAL CONSENTAND PERMISSION IiOR OUT-OF-SCHOOLACTIVITY

Datc:

Student:

Dear ParenVGuardian:

to invited participatea fieldtrip activiry. POrc.de Yourchildhasbeen in
on
(date)

o$ HomeS

Duringthis trip, it is anticipated that

your student will participate the followingactivity(ies): in

It is the intentthat this trip will accomplish followingeducational the purpose(s):

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your consent your child to participate.It, also,indicates Your signature below indicates for that you understand that if any injury occurs,the schoolwill make reasonable efforts to contactyou. In the you meantime, give permission, the eventof injury,thatyour student in may receive emergency medical and/oroperation in the opinionof the attending if, aid, anesthesia, physician, suchtreatment medically is necessary.

Signature(Parent/Guardian)

Date

Home phone Work Phone

phone Emergency F o r m1 0 1 4

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