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Get Lausd Field Trip Slip 2013-2024

Articipate in the following voluntary activity: Destination: Departure Date & Time: Return Date & Time: Will Travel By: School Bus Private Passenger Vehicle Walking Other: In the event of illness or injury, I do hereby consent to whatever x-ray, examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care are considered necessary in the best judgment of the attending physician, surgeon, or dentist and performed by or under.

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