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Authorization and Release Form Texas Wesleyan University Fort Worth Texas I We the undersigned being the natural parents and/or the designated legal guardian s or custodian s of Name gender a minor date of birth // Printed Last First MI M/F Month/Date/Year residing at Street City St Zip enrolled at in hereby authorize consent and contract as follows High School Grade a. Permission is expressly granted for said minor child student to attend the Youth Leadership Conference YLC to be held at...
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