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PERMISSION SLIP
Tidal Youth Summer Camp 2025
July 13 - 16, 2025
Mount Madonna County Park, 7850 Pole Line Road, Watsonville, CA 95076
Student's Information:
First Name
Last Name
Phone Number
Parent/Guardian's Information:
First Name
Last Name
Email
Phone Number
Signature
In the case of an emergency, where I cannot be reached, please contact:
Emergency Contact
First Name
Last Name
Phone Number
Relation to Student:
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