Day Care In Slidell LA - Perfect Milestones Learning Academy LLC

Water Activities Authorization Form

My child,

First Name

Middle Initial

Last Name

has permission to participate in the following type(s) of water activity:

Location(s) of activity:

(Description of all types of water activities included)

Parent's Signature

First Name

Middle Initial

Last Name

Email

Phone

Date

Parent's Signature

First Name

Middle Initial

Last Name

Email

Phone

Date

if activity is off-site, transportation authorization is required and regulations regarding transportation must be followed.

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