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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