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Student #1 dietary restrictions: n/a
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Parent Authorization
I understand that $170 per student will be billed to my TADS account and I am required to pay this in full by August 23
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I authorize my child(ren) to participate in camp, under the supervision of all Victory personnel and approved chaperones, and to be transported via school bus or other transportation provided.
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I release Victory of all liability for any claims arising out of or in connection with the student's participation in camp.
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I understand that and authorize all emergency medical information I provide to Victory will be used as needed to treat injury, illness, or other medical condition as the school deems necessary.
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PARENT'S NAME - I authorize the above mentioned student(s) to attend and participate in the Junior/Senior High Woodleaf Younglife Camp on August 28-30, 2019. Lisa Eckert
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Heather Jarrett
Emergency Contact & Phone # Heather Jarrett 541-301-1493
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