***HOURS***. ———8 am- 1 pm———- Permission Form for Dia de Los Muertos at the Mexican Heritage Center
This form is for San Joaquin County students under the age of 18, to be completed by their parent or guardian. Signing this form gives your child permission to participate on November 2nd from 8 am to 6 pm, at the Mexican Heritage Center and surrounding streets in Stockton, CA. PLEASE MEET ON THE 2nd FLOOR of the CAFE INSIDE THE MEXICAN HERITAGE CENTER at 8 am
Student Name. HIGH SCHOOL
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Full Name
(Stockton/Lodi High Schools Only)
Parent/Guardian Name
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First Name
Last Name
Date of Birth
*
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Month
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Day
Year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
By selecting "I agree" below, I hereby give permission for my child to participate in the event at the Mexican Heritage Center at 111 S. Sutter St... I do hereby accept full responsibility for any and all liability resulting from these activities. I further agree not to hold the Mexican Heritage Center liable for any injury sustained by my child. I agree to indemnify the Mexican Heritage Center from any claims or law suits brought against the Mexican Heritage Center by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the Mexican Heritage Center in defense of such a claim/suit.
I agree
Submit
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