Panama City Swim Team Travel Consent Form

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Panama City Swim Team Travel Consent Form
I/we, _______________________________________________________________________________
(Full Name(s) of Custodial and/or Non-Custodial Parent(s)/Legal Guardian(s))
being the lawful custodial parent(s) and/or non-custodial parent(s) or legal guardian(s) of:
Child’s full name:_____________________________________________________________________
Date of Birth:________________________________________________________________________
has my/our consent to travel with:
Full name of accompanying person:_______________________________________________________
for the purposes of____________________________________________________________________
during the period of ___________________________________________________________________.
Signature:__________________________ ______________________ Date:___________________
(Signature of Custodial Parent, and/or Non-Custodial Parent or Legal Guardian)
Full Name: __________________________________________________________________________
Signature:__________________________ ______________________ Date:___________________
(Signature of Custodial Parent, and/or Non-Custodial Parent or Legal Guardian)
Full Name: __________________________________________________________________________

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