Choir Handbook - Parent Acknowledgement 2018-2019
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Student Name (Last, First)
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Parent Name (Last, First)
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Parent Cell Phone Number
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Medical Insurance Company/Policy Number
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Family Physician/Physician Phone Number
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List all student medications currently taken
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List all allergies or other pertinent medical information or conditions
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Check "yes" if you give sponsors/chaperones permission to give over-the-counter medication such as Aspirin/Tylenol/Tums/Mydol/etc.
Please list any EMERGENCY Contacts you would like us to have on file
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I have read and understand the Choir Handbook. This includes ALL information on Choir Dues, Choir Grading Policy, Choir Code of Conduct, Choir Expectations, and Choir BYOD Responisble Use Guidelines.
Electronic Signature
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