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I, as a parent and/or legal guardian, remain legally responsible for any personal actions taken by the
above named participant.
In signing the Parental Consent and Waiver, I am not relying on any oral or written representation or
statements mde by the university.
I have read and understand the terms of this consent and waiver, and recognize that it’s binding upon
me.
_____________________________ ______________________
Parent/Guardian over Printed name Date