Saturday, December 25, 2010
Monday, May 24, 2010
From the Desk Of Edward Cambas./
These are my blogs.
in reference to: http://www.google.com/support/places/bin/answer.py?answer=168339 (view on Google Sidewiki)Friday, May 7, 2010
Sunday, April 25, 2010
Medical Release Form.
School District of Hillsborough County
MEDICAL RELEASE FORM
Name of Student:
Name of Parent:
Parent home phone: Parent business phone: Parent cell phone:
PART I (ONLY COMPLETE PART I OR PART II )
The undersigned as the parents and/or legal guardians of do hereby consent to any
and all medical and surgical treatments, including anesthesia and operations that may be deemed advisable by any qualified physician selected by agents or
officials of the Hillsborough County School Board. The intention hereof is to grant authority to administer and to perform all and singularly any examination,
treatments, anesthetics, operations, and diagnostic procedures that may now or during the course of the patient's care, be deemed advisable or necessary by
any qualified physician. No action will be taken until an attempt is made to contact me at the phone number(s) listed above.
IN WITNESS of our consent and agreement to the matters stated above, we have subscribed our signature below.
Signature of parent or guardian: Date:
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
SUBSCRIBED AND SWORN TO BEFORE ME A NOTARY PUBLIC, THIS DAY OF 20 .
My Commission expires:
Notary Public:
PART II (ONLY COMPLETE PART I OR PART II)
As parent or guardian of the athlete listed below, I do not desire to sign the medical and surgical release form above.
Signature of parent or guardian: Date:
(Do not sign both parts. This form does not need to be notarized if Part II is signed.)
MEDICAL RELEASE FORM
Name of Student:
Name of Parent:
Parent home phone: Parent business phone: Parent cell phone:
PART I (ONLY COMPLETE PART I OR PART II )
The undersigned as the parents and/or legal guardians of do hereby consent to any
and all medical and surgical treatments, including anesthesia and operations that may be deemed advisable by any qualified physician selected by agents or
officials of the Hillsborough County School Board. The intention hereof is to grant authority to administer and to perform all and singularly any examination,
treatments, anesthetics, operations, and diagnostic procedures that may now or during the course of the patient's care, be deemed advisable or necessary by
any qualified physician. No action will be taken until an attempt is made to contact me at the phone number(s) listed above.
IN WITNESS of our consent and agreement to the matters stated above, we have subscribed our signature below.
Signature of parent or guardian: Date:
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
SUBSCRIBED AND SWORN TO BEFORE ME A NOTARY PUBLIC, THIS DAY OF 20 .
My Commission expires:
Notary Public:
PART II (ONLY COMPLETE PART I OR PART II)
As parent or guardian of the athlete listed below, I do not desire to sign the medical and surgical release form above.
Signature of parent or guardian: Date:
(Do not sign both parts. This form does not need to be notarized if Part II is signed.)
We love all the friends and family from Greco Junior High.
Please let us know if you or a loved one went to Greco. Some people say that this was the favorite times in their lives.
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