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Get CA Bakersfield City School District Parent Permission Form To Participate In After School Education 2016-2024

Al Guardian: Complete one form for each child enrolling in the After School Education and Safety Program. Check box if student was in Program last year Check box if student had siblings in Program last year Check box if you plan to have more than one (1) child in Program this year Child s Name Child s Address School Attending Birthdate City Grade Age Zip Teacher I/We (Parent/Guardian of Student, Parent/Guardian and student participating in the Program, Student ), by si.

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