PERMISSION SLIP & EMERGENCY CONTACT FORM

All current '21-'22 school year 6th, 7th and 8th Grade Broadlands Residents

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* 1. Child's Name (first and last):

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* 2. Parent ER Contact Name (first and last):

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* 3. Parent ER Contact Number:

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* 4. I understand the HOA is NOT responsible for kids who leave the party premises.

Yes