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Student First Name
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Student Last Name:
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Teacher Last Name:
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Grade:
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Name of other Students on Team:
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I give my child permission to stay after school to participate in the Basketball "3 on 3" tournament on Friday, May 2, 2014. I understand the event is held from 2:15 to 4:00 pm and I must pick my child up by 4:00 pm.
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I would like to volunteer at this event.
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Emergency Contact Name:
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Emergency Contact Number:
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Email address:
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