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PARENT/GUARDIAN SIGNATURE X DATE PLEASE ENCLOSE A 75 DEPOSIT AND MAIL TO THE ROCK BIBLE COLLEGE ATTN MISSIONS TRIP 2345 S. WATERMAN AVENUE SAN BERNARDINO CA 92408 Revised 09/16 LA. OR PHYSICAL DISABILITIES THAT MIGHT MAKE THIS TIRP DIFFICULT DO YOU HAVE ANY ALLERGIC REACTIONS TO ANY TYPE OF MEDICINES BEE STINGS FOOD ETC. BY SIGNING BELOW I INDICATE THAT KNOWLEDGE AND IN CASE OF AN EMERGENCY I HEREBY AGREE TO THE PERFORMANCE OF SUCH TREATMENT INCLUDING ANESTHESIA AND SURGERY AS THE STANDING...
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