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Staff initials: Date issued: City of Modesto Leisure Bucks Youth Application July 2014 June 2015 Parent/Guardian s Name Spouse s Name Home/Street Address Mailing address (if different) City, State,
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Leisure bucks are a form of currency used for recreational activities and entertainment.
Anyone participating in leisure activities that accept leisure bucks as payment.
Leisure bucks can be filled out by indicating the amount and signing the currency for verification.
The purpose of leisure bucks is to provide a designated currency for leisure activities and events.
Leisure bucks must include the amount, the name of the payer, and the signature for verification.
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