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Parental Consent Form
I, ____________________________And
I ______________________ Give permission for my / our son(s) / daughter(s). _______________________________________________
On the ____ day(s) of __________ , 20___
Signature of Mother Guardian:
_________________________________
Full Address:
_______________________________________________
Phone Number: ____________________________
Signature of Father Guardian:
__________________________________
Full Address:
_______________________________________________
Phone Number: ____________________________
FOR NOTARY USE ONLY
State of _________ County of ______________________
Subscribed and sworn to before me this ________ day of ____________________ , 20____
Notary Public
Commission Expires: ______________________________
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