Deer Valley Chaperone Information
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Your Name
Child's Name
Phone Number
Email Address
Home Address
Please check below:  I am interested in attending the Deer Valley field trip as a chaperone.  I understand that I will be responsible for obtaining the Department of Public Welfare Child Abuse Report, PA State Police Criminal History Record, and Federal (FBI) Criminal History Record clearances, and TB test at my own expense. I understand that the cost for me to attend the trip is $130.00 due no later than September 3, 2020.  
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