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O. Box 1013 Spokane W A 99210 Form 4 CONSENT FOR TREATMENT OF MINOR AND ACKNOWLEDGMENT RELEASE OF ALL CLAIMS STATEMENT Full Nam e of Participant Address City State and Zip Hom e Phone Date of Birth Nam e of Parent/Guardian Em ployer Business Phone EM ERGENCY AUTHORIZATION W e the undersigned parents of the participant a m inor do hereby authorize the directors officers leaders assistant leaders instructors assistant instructors or m em bers acting in the capacity of activity...
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