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EMERGENCY CONTACT / PARENTAL CONSENT FORM 55 PA Code Chapters 3270.124(a)(b), 3270.181 .182, 3280.124(a)(b), 3280.181 .182, 3290.124(a)(b), 3290.181 .182Child\'s Name:Birthdate:Address:School District:Mother\'s

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moformrs name legal guardian is the individual appointed or designated to make legal decisions on behalf of a minor or incapacitated person.

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