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Exhibit C Diego: 5141 PARENT/LEGAL GUARDIAN S RELEASE FOR ADMINISTRATION OF MEDICATION AT SCHOOL AND PHYSICIAN S SIGNED ORDER The undersigned parent/legal guardian of hereby requests (Student's name)
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How to fill out student's name - Adams:

01
Start by writing down the first name of the student in the designated field.
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Next, enter the last name of the student as "Adams" in the appropriate section.
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Make sure to follow any specific formatting guidelines provided, such as capitalizing the first letter of each name or using a specific font size or style.
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Double-check the spelling of both the first and last name to ensure accuracy.
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If there is an additional field for a middle name or initial, include that information if applicable.
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After filling out the student's name, verify that all other required information is correctly entered, such as date of birth or student identification number.

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Student's name is Adams.
The student or their parent/guardian is required to file student's name Adams.
Student's name Adams should be filled out on the specified form provided by the institution.
The purpose of reporting student's name Adams is for identification and record keeping purposes.
The full legal name of the student, including first name, middle name (if any), and last name must be reported on student's name Adams.
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