Consent for Orange Strategy Dining Etiquette Workshop September 16, 2023 - St. James Parish Hospital Community Education Center Lutcher, LA

Consent for Orange Strategy Dining Etiquette Workshop September 16, 2023 - St. James Parish Hospital Community Education Center Lutcher, LA

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Student's Name*

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Lawful Parent/Guardian's Name*

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Additional Comments (any known food allergies / disabilities)*
(NOTE: If there are no known allergies/disabilities type "NKFA” )
In the event that my child requires emergency medical treatment and I CANNOT be reached, Mrs. Malonna Peters (Analytics & Senior Project Manager- Orange Strategy) is authorized to consent to emergency medical treatment at the nearest emergency room in my stead.*
EMERGENCY TREATMENT
Lawful Parent/Guardian's Signature: My student has my permission to participate in the Orange Strategy Dining Etiquette Workshop led by Mrs. Jutane Bridgewater Sip, owner of Elite Etiquette School of Protocol, Inc. on Saturday, September 16, 2023 at 11:00am-2:00pm, St. James Parish Hospital Community Education Center, Lutcher, LA 70071*

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