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Luisa Valley Regional School District 49 PARK STREET ADAMS, MA 01220 (413) 7432939 Perseverance Respect Integrity Diversity EmpathyPROGRAM PARTICIPATION WAIVERStudent Name: ___Date of Birth: ___/___/___Address:
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How to fill out program participation waiver

01
Obtain a copy of the program participation waiver form.
02
Read through the form carefully to understand what information is being requested.
03
Fill out your personal information like name, address, contact information, and date of birth.
04
Sign and date the form to indicate your consent to participate in the program.
05
Review the completed form to ensure all required fields are filled out accurately.
06
Submit the form to the appropriate party as instructed.

Who needs program participation waiver?

01
Anyone who wishes to participate in a program or activity that requires a waiver of liability and/or consent to participate.
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The program participation waiver is a document that allows individuals to request an exemption from participating in a particular program or activity.
Anyone who is unable or unwilling to participate in a specific program or activity may be required to file a program participation waiver.
To fill out a program participation waiver, individuals must provide their personal information, reason for requesting the waiver, and any supporting documentation.
The purpose of the program participation waiver is to provide individuals with an opportunity to request an exemption from participating in a program or activity that they are unable to participate in for valid reasons.
The program participation waiver must include personal information, reason for requesting the waiver, any supporting documentation, and signature of the individual requesting the waiver.
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