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Field Trip Release
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Field Trip Release
During the week long Youth Academy, your child will have the opportunity to visit the Betty Queen Intergenerational Center and the Louisa County Pool.
Please complete the section below authorizing your child to participate in these trips.
I,
Full Name
*
, hereby authorize my
Son or Daughter
*
-- Select One --
Son
Daughter
Son or Daughter's Name
*
to attend the field trip(s) listed above.
Electronic Signature Agreement
*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I agree.
Electronic Signature
*
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