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Get NY Church of Nativity Parental Permission and Medical Authorization Form

Nt Name: Birth date: Participant’s Primary Phone Number: Email or Text Number: Street Address: City, State & Zip: I give permission for my child (named above) to attend all supervised events, field trips, and service projects associated with the Youth Group of the Church of the Nativity UCC of Buffalo, New York except as noted: I further give permission for my child to be transported to and from events by hired and volunteer drivers authorized by the Church of the Nativity. Medical Release .

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