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While participating in the _______________________________ study abroad program (name of program) from beginning date _______________ through ending date __________________, the minor student ___________________________________________________________ First Middle Last is authorized to travel abroad via any necessary means of transportation with the assigned program leader ______________________________________________in association with the University of Cincinnati.___________________________________________________________Parent/Guardian Name (printed)(signature) (date)___________________________________________________________Parent/Guardian Name (printed)(signature) (date)1524054419500Form Notarization:35433001210310 ................
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