Liability Release Form

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PERSONAL Yes No Name of Company Subscriber Group Number Address of Company Phone Number of Company STUDENT S SIGNATURE Parent s Name/Phone Number or person to contact in case of emergency: STUDENT CODE OF CONDUCT AS DESCRIBED IN THE STUDENT HANDBOOK MUST BE REVIEWED A copy of this Release must be approved by and left on file with the chair of the department prior to the event and a copy must accompany the faculty on the trip..

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