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Get Georgia Baptist Convention Event Waiver Release Form

MEDICAL WAIVER/RELEASE FORM NOTICE This form must be completed and mailed to the Youth Ministries Office for each student in order for he/she to be able to participate in a Georgia Baptist Convention/Youth Ministries Office sponsored activity or event. This form must be signed by a parent or guardian and notarized in the spaces provided. Participant s Information Last First Middle Prefer to be called Age Date of Birth Church SS for Ins. Purposes .

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