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Emergency Contact Name
Emergency Contact Phone Number
My child (name) has my permission to go on the above-described outing/activity with the Men’s department of Bethesda Temple
PHOTOGRAPH/VIDEO Waiver as parent/legal guardian authorize that my child named above may be photographed/videotaped and waive all claims by myself or my child for remuneration in any form for the use of such photographs/video tapes for educational programs, public relations programs, and newspaper or other media use.
Parent Guardian Name- Type here to Sign
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