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Get and Sign Permission Slip Template  Church of the Nativity UCC  Nativityucc  Form

Get and Sign Lds Permission Slip 2022 Form

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Provided on this form will be kept strictly confidential. Please complete this form print it sign it and give it to the appropriate youth leader or pastor. I understand that I am responsible for payment of treatment. Custody Release I further authorize the youth leaders of the Church of the Nativity UCC of Buffalo New York to receive physical custody of my child upon completion of any treatment and I specifically instruct any treating health facility to surrender physical custody of my child to...
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