Free Permission Slip 18
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PERMISSION SLIP FOR ____________________________
From time to time we _____________________or conduct ________________
during ______________________. We would like your permission to use these
___________________________and ________________on our ___________,
in ‘_____________________.
Please take a moment to let us know your preferences regarding our use of
___________________________________________________ of your children:
_____YES. I grant you permission to ___________________________ of my
child on ___________________________________, in ‘___________________.
-OR_____ NO. Please do NOT take or use any ______________________ my child.

Child(ren)’s Name(s) (PLEASE PRINT):
______________________________________________________________
______________________________________________________________
Parent/Guardian’s Name (PLEASE PRINT):
______________________________________________
Parent/Guardian’s Signature:
___________________________________________________________
Date: _______