Authorized Dismissal. My child is at least 16 years of age and will be responsible for his/her own transportation to and from the program. My child may sign himself/herself out at the end of the program activities. *Please note that only the enrolling parent will be permitted to complete this form.
Appears in 5 contracts
Samples: Participation Agreement and Waiver Form, Participation Agreement and Waiver Form, Participation Agreement and Waiver Form
Authorized Dismissal. My child is at least 16 years of age and will be responsible for his/her own transportation to and from the program. My child may sign himself/herself out at the end of the program activities. Signature of Parent or Guardian: Parent/Guardian Name*: *Please note that only the enrolling parent will be permitted to complete this form.
Appears in 2 contracts
Samples: Participation Agreement and Waiver Form, Participation Agreement and Waiver Form
Authorized Dismissal. My INITIAL HERE ONLY IF your child is at least 16 years of age and will be responsible for his/her own transportation (driving or public transportation) to and from the program. My child Program, and may sign himself/herself out at the end of the program activities. *Please note that only the enrolling parent will be permitted to complete this formProgram.
Appears in 1 contract
Samples: Participation Agreement and Waiver
Authorized Dismissal. My child is at least 16 years of age and will be responsible for his/her own transportation to and from the program. My child may sign himself/herself out at the end of the program activities. *Please note that only the enrolling parent will be permitted to complete this form.
Appears in 1 contract
