1. HCTPC Web site Permissions

The Hennepin County Teen Parent Connection (HCTPC) website will be a repository for information about the goals and work of the HCTPC. We want to publish the names of the agencies and programs represented by the members of the group and are requesting your permission to do so.

If you are not the person who may give permission, please pass this on to someone who has this authority.

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* 1. I give my permission for the HCTPC to list the name of my __________ as an HCTPC partner.

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* 2. Electronic Signature