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______________________ and Mr./Mrs. ________________ currently resides at __________________________________. I further give my permission for Mr./Mrs. ________________ to care for the children in his/her home and to apply for, consent to, or otherwise obtain any medical treatment or any economical, social, educational, or other services that the children may need. (Sign in front of a Notary Public) ________________________ Date ________________________ Date day of ___________________________.

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