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Get Permission To Travel Form

Nsion Agent. This person is a licensed and insured driver, and I clearly understand the risks associated with my child s travel and assume all risks thereof. Print Name of Parent/Legal Guardian: Signature of Parent/Legal Guardian: Relationship to 4-H Participant: Date: CONTACT INFORMATION Parent/Legal Guardian Name: Home Phone Number: Cell Phone Number: Work Phone Number: Alternate Emergency Contact Name: Relationship to 4-H Participant: Home Phone number: Cell.

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