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Editing previous response:
Front:
Student Information
Parent/Guardian (student resides with) Information
Other Parent/Guardian Information
Release of Child
** CHILD WILL BE RELEASED ONLY TO PERSONS NAMED ON THIS FORM
** It is understood that in the final disposition of an emergency case, the judment of the school authorities will prevail.
**The recommendation of the parent as indicated above will be respected as far as possible.
BACK:
Health Information
Siblings
Confirmation