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Check/explain all that are applicable to this student/participant. Allergic reactions medications foods plants insects etc. Utilizes asthma or airway constricting prescription medication see item 9. I agree on behalf of myself my child named herein or our heirs successors and assigns to hold harmless and defend its officers directors of St. Elizabeth Pastorate Name of School/Parish and agents and the Archdiocese of Dubuque chaperons or representatives associated with the events arising from...
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This consent form is a document used to obtain permission from an individual or entity before disclosing certain information about them.
Any individual or entity that needs to disclose information about someone else must file this consent form.
The consent form can be filled out by providing the required information about the disclosing party, the information being disclosed, and obtaining the signature of the individual authorizing the disclosure.
The purpose of this consent form is to ensure that information is not disclosed without the individual's or entity's permission.
The consent form must include details about the disclosing party, the information being disclosed, and the authorization of the individual or entity to release the information.
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