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Get Authentic Martial Arts Afterschool Program Form

Employer Name: Custodial Parent Work Phone: Non-Custodial Authorized to pick-up student Cell Phone: Parent/Guardian Name: Employer Name: Custodial Parent Work Phone: Non-Custodial Authorized to pick-up student Cell Phone: Emergency Information Emergency Contact/Authorized to pick-up student (other than parents) Name: Address: Home Phone: Work Phone: Cell Phone: *Appropriate paperwork such as custody papers must be attached if a parent is not allowed to pick-up the child. CHILD NAME:.

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