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Minor Release 2

Gary Sexton is providing consent for his 15-year-old son James Sexton to participate in minor activities. Gary certifies that he has read and understands the consent form and is allowing his son James to be released to the care of Karen Sexton, who will be on location and can be reached by telephone.

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MrAlexSexton
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33 views1 page

Minor Release 2

Gary Sexton is providing consent for his 15-year-old son James Sexton to participate in minor activities. Gary certifies that he has read and understands the consent form and is allowing his son James to be released to the care of Karen Sexton, who will be on location and can be reached by telephone.

Uploaded by

MrAlexSexton
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MINOR INFORMA TlON & RELEASE FORM - page 2 I hereby certify and represent that I am the parent or legal

guardian of the below named minor child, and I am over 18 years of age and have read the foregoing and fully understand the meaning and effect thereof.

I NAME

OF MlNOR CHllD: JAMES SEXTON NAME: ROB TO PARENT OR LEGAL GUARDIAN NAMED BELOW: rDAUGfITER r STEP-SON

I AGE:

15

I CHARACTER

RELATIONSHIP ~ON rBROTHER rOTHER

r STEP-DAUGHTER

r SISTER

rNEPHEW

rNIECE

NAME OF PARENT OR LEGAL GUARDIAN: GARY SEXTON HOME ADDRESS:27 LA VENDER ROAD,CARSHALTON, SURREY TELEPHONE: 02Q.8.6473$31

PARENT ORLEGAL\GUARDIAN

SIGNATURE

GUARDIAN ON LOCATION: KAREN SEXTON TELEPHONE: 02086473531

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