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Directory Results for (I) (We), the undersigned, parent(s) of , a minor, do hereby authorize Coastal Grove Charter School as agent for the undersigned to consent to any x-ray, examination, anesthetic, medical surgical diagnosis or treatment, and hospital care to (i) * * * - gpo

(I) (We), the undersigned, parent(s) of , a minor, do hereby authorize Coastal Grove Charter School as agent for the undersigned to consent to any x-ray, examination, anesthetic, medical surgical diagnosis or treatment, and hospital care
(i) ) & - hcg
(I) ) ) ) STATE OF SOUTH CAROL1NA STATE OF SOUTH CAROLINA (Caption of Case) (Caption of Case) Example: Application for a Class C Charter Certificate from Example: Application for a Class C Charter Certificate from John Doe dba Doe's - -
(i) * * * - gpo