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Get Drama Camp 2008 Registration Form - Jacksonville State University - Jsu

Er s Cell # Mother s Cell # Emergency Contact Name Phone Allergies/Medical Conditions Person(s) Authorized to Pick Up Phone # 1) 2) 3) WAIVER OF LIABILITY STATEMENT: The child named above is a registered participant in the identified activity, which is endorsed and supervised by Jacksonville State University Drama Department. I hereby release Jacksonville State University from responsibility for any personal injury or loss that may result from participation in this activity. I acknowl.

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