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Please print clearly. ANNUAL PARENT/GUARDIAN RELEASE AND MEDICAL AUTHORIZATION FORM 1000 N. Studebaker Road, Long Beach, CA 90815 Phone: 562.296.6490 Website: www.cclb.org Child's Name:Date of Birth: (last)(first)Address: (street)(city)Phone
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01
To fill out the annual parent/guardian release form, follow these steps:
02
Obtain a copy of the form either from the organization or download it from their website.
03
Read the instructions and requirements mentioned on the form carefully.
04
Fill in your personal information, such as your name, address, phone number, and email address.
05
Provide the necessary details about your child, including their name, date of birth, and any specific medical or behavioral conditions.
06
Sign and date the form at the designated places, indicating your consent and agreement to the terms mentioned.
07
Review the completed form to ensure all information is accurate and complete.
08
Submit the form as instructed, either electronically or by mailing it to the respective organization.
09
Keep a copy of the filled form for your records.

Who needs annual parentguardian release and?

01
The annual parent/guardian release is typically required by organizations or institutions that interact with minors in various activities. Some examples of who may need an annual parent/guardian release include:
02
- Schools and educational institutions for field trips, extracurricular activities, or sports events
03
- Sports clubs or teams for participation in practices, games, or tournaments
04
- Summer camps or recreational programs for enrollment and participation
05
- Youth organizations or clubs for events, outings, or group activities
06
- Medical facilities or practitioners for treatment or medical procedures involving minors
07
- After-school programs or daycare centers for regular or special activities involving minors
08
It's important to check with the specific organization or institution to determine if they require an annual parent/guardian release form and under what circumstances it is necessary.
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Annual parent/guardian release is a form that gives permission for a child to participate in certain activities or programs under the supervision of a parent or guardian.
Parents or legal guardians of children who wish to participate in specified activities or programs.
The form should be completed with the child's information, parental or guardian contact details, signature, and any specific instructions or authorizations.
The purpose is to ensure that parents or guardians have given consent for their child to participate in activities and understand any associated risks.
Child's name, age, emergency contact information, medical conditions/allergies, and any specific permissions or restrictions.
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