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Last Name: duplessis
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1037 Church St.
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Phone:
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What Program or School are you volunteering with?
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What Grade are you in?
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Evelyn Armstrong 415-517-0954
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Privacy and Release Authorization
Please Sign and Date Below:
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Parent/Guardian Approval
Parent/Guardian Signature and Date Below:
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Agreement and Release From Liability
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Volunteer Signature and Date Below:
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