Get the free PHONE (763) 6821883 FAX (763) 6821936 - stjohnsbuffalo

St. Johns Lutheran Church 302 N.E. 2nd Street, P.O. Box 238 PHONE: (763) 6821883 FAX: (763) 6821936 EVENT MEDICAL RELEASE & PARENTAL CONSENT FORM (FORM #1 YOUTH 20112012) Youths Name: Date of Birth:

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