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____ Home Number: __________________________________ Cell Number: _____________________________ PRIVACY ACT I understand that the information concerning me, my spouse, and child as client will be kept in confidence and will not be revealed to anyone except NuMaSS Summer Program personnel in accordance with the Family Educational Rights and Privacy Acts. AUTHORIZATION FOR ACADEMIC RECORDS I authorize Morehouse College NuMaSS Summer Program to obtain copies of my son’s and/or daughter’s tran.

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