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Print Name Date Relationship to Minor Before me the undersigned authority on this day personally appeared known to me to be the person whose name is subscribed above and acknowledged to me that she/he executed the same for the sworn purpose therein expressed. Sworn and subscribed before me this day of 20 STATE OF ARKANSAS Notary Public In and for County Arkansas My Commission Expires Witness. I knowingly release absolve indemnify and hold harmless First United Methodist Church of Fort Smith...
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