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20152019 EEE Conference Parent PermissionParent/Guardian InformationPlease provide the following information (print or type), read the Parent/Guardian Statement of consent, and provide your signature
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The participants physicians name is the name of the physician providing medical care to the participants.
The individuals or entities organizing the event or program are required to file the participants physicians name.
The participants physicians name can be filled out by providing the full name of the physician in the designated field.
The purpose of collecting participants physicians name is to ensure that medical care can be provided promptly if needed during the event or program.
The information required to be reported on participants physicians name includes the full name of the physician and their contact information.
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