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10770 Cricket Road San Diego, CA 92126 Trey Van Camp Youth Director 2013 MEDICAL RELEASE AND PERMISSION FORM Name of Student Grade BE IT KNOWN that, I, the undersigned parent or guardian of the student
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Start by writing the complete first name of the student in the designated space.
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Next, move on to writing the middle name or initial, if applicable, in the provided space.
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After that, proceed to write the complete last name of the student in the allocated area.
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