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Emergency Authorization hereby give my consent to Prince of Peace Catholic Church Kids Day Out/ Mother's Day Out / Summer with Jesus Program to call Dr. at (Phone #) or a hospital emergency room (Name,
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I hereby give my is a statement or declaration made by an individual giving their permission, consent or authorization for something.
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The information reported on an i hereby give my statement may include the details of the authorization or consent being given, the date, and the signature of the individual providing it.
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