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Girls Today Consent Form

Please view the Girls Today Informed Consent & Release Document at:
http://pacificu.edu/academics/gender-equity/consent.html
or
Click here to load the Consent Form
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I cerify that I have read the Pacific University Informed Consent & Release form by typing my intials in the box below. *
Must be at least 2 characters. Currently Used: 0 characters.

Please enter yout intials
Name of Child (“Participant”) * First Last
School
Age & T-shirt Size
Email
Name of Participant’s Parent/Guardian * First Last
Phone Number * ### - ### - ####
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Consent. *
I agree to the Pacific University Informed Consent & Release Document (Provided Above) I Register my child for Girls Today

You must agree to both options to register for girls today
Today's Date * MM / DD / YYYY
Do Not Fill This Out

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