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Flyer 3 - Franco-American School of New York

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Release Form<br />

Child’s name:<br />

I, _____, hereby authorize the personnel <strong>of</strong> the French-<strong>American</strong> <strong>School</strong> <strong>of</strong> <strong>New</strong> <strong>York</strong> to<br />

take my child for emergency care in the event neither parents nor guardian can be<br />

contacted.<br />

Parents’ signature:<br />

Date:<br />

___________________________________________________________________________<br />

Child’s name:<br />

I, _____, hereby authorize the school to take my children on trips outside <strong>of</strong> the school<br />

occurring between October 25, 2010 and October 29, 2010.<br />

Parents’ signature:<br />

Date:<br />

5

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