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My daughter(s) _____________________________
will ____ will not _____ be able to attend the bridging rehersal. (Monday, May 4th 7:00-8:15) will ____ will not ______ be able to attend the bridging ceremony (Monday, May 18th 7-8:30)
I have another daughter __________________________ who would like to help in the program as
_____ usher (hands out programs)
_____ greeter (greets the girls who are bridging)
_____ Flag ceremony (need full uniform)
She is in good physical condition and has had no serious illness or operation since her last health examination. During the activity I may be reached at:
Address: _______________________________________________
Phone: _____________________________
If I cannot be reached in case of an emergency, the following person is authorized to act in my behalf:
Name and Address: _______________________________________ ________________________________________
Relationship to participant: ______________________
Phone number: ____________________
Physician�s name and number: __________________________
__________________________
Parent�s Signature: ____________________________________
Date: ___________________ |
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