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Name of Participant please print Signature of Participant If the above named person is not of legal age the following also must be completed. the Minor hereby on behalf of the Minor and his/her heirs executors successors and assigns agree to terms of the foregoing Responsibility and Liability Waiver. Approved by CN 10/2/12 Fox Chapel Presbyterian Church 384 Fox Chapel Road Pittsburgh PA 15238 412-963-8243 Parent Permission Slip The Event Middle School FunFest Date and Time FRIDAY MAY 13...

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Fox Chapel Presbyterian Church is a religious institution located in the Fox Chapel community.

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