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STUDENT SIGNATURE 261 Ar cade Av enu e Seek onk Massach usetts 02 7 71 Telepho ne 508 336 -7272 F ax 508 3 36-8 535. Seekonk High School Marcia F. McGovern Principal Christopher Jones Christine Whatley Assistant Principal Director of Guidance PARENTAL PERMISSION FORM STUDENT REPONSIBILITY FORM STUDENT S NAME CLASS SYMPHONIC BAND AND CONCERT BAND SPONSORING TEACHER MR. SMIALEK DESTINATION HURLEY MIDDLE SCHOOL DATE FEBRUARY 8 2013 TIME 8 45 - 11 00Period D and E COST 0 Includes...
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01
Gather the necessary information and documents required for the HMS perm slip.
02
Fill out the personal information section accurately and completely.
03
Provide the relevant details about the patient and their medical condition.
04
Specify the duration and purpose of the requested leave or permission.
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Any patient who requires temporary leave or permission from a medical facility.
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