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First Name:
Last Name:
Date of birth:
Allergies or health conditions that the leaders need to be aware of?
* I give my permission for my child(ren) to attend and participate in the Legacy Youth activities and programs throughout the year. I understand that there may be photos taken of the groups for use to celebrate achievements and accomplishments, or for special projects related to Legacy Youth. If I choose not to have their photos taken, I understand I must state so to the Legacy Youth Leadership.
Yes
No
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