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Acord parental

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ACORD

Subsemnatul (a) __________________________________________,

domiciliat în _______________________, sat _______________________,

str. _____________________, nr. ____, bl. ______, sc. _____, et. _____,

ap. ______, telefon ___________________, părintele / reprezentantul legal

al minorului _________________________________________ sunt de

acord cu consilierea psihopedagogică / evaluarea psihologică a acestuia.

Data

____________

Semnătura

______________

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