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DEPOT YOUTH CENTER PERMISSION SLIP

This permission slip gives your child access to all Depot/Youth Service Bureau programs, activities, and events, as well as access to the Youth Center from today, through June 30, 2020.

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DEMOGRAPHICS

We provide certain demographic information from this form to the State of CT Department of Education for statistical and research purposes

PERMISSION AND EMERGENCY/MEDICAL INFORMATION

In case of emergency, if I cannot be reached, I give permission to the attending physician to hospitalize, secure necessary treatment, order injections, anesthesia, or surgery for my child named on this form. Additionally, I, the undersigned, do hereby waive and hold THE DEPOT YOUTH CENTER, its employees and agents, harmless from any personal or property damage I or my child may incur while participating in activities at THE DEPOT YOUTH CENTER. I also understand THE DEPOT YOUTH CENTER does not provide accident or health insurance. In addition, I give permission for my child to participate in all programs at THE DEPOT YOUTH CENTER.

    
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