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Parental Consent Form Marine Corps Junior ROTC
From:_______________________________________ Name of parent or guardian
To: Senior Marine Instructor
I hereby authorize that my child,________________________________, has my permission and support to participate in the following JROTC activity.
(List activity)
I understand that the JROTC unit will depart the school at approximately__________ on _____________ and return to the school by approximately _________________ on _______________.
I consent to my child traveling and eating with the rest of the JROTC unit to participate in the above listed event.
I acknowledge that Marine Corps JROTC does not have any insurance coverage, and that my child is covered by our family insurance.
I also agree that, in case of an emergency, a responsible adult may transport my child to a local doctor or hospital for treatment, and that I am responsible for the medical expenses incurred with all unforeseen medical treatment.
_________________________________ ________________ _________________ Parent/Guardian Signature Date Phone Number
For further information, call the Marine Corps JROTC unit at (904) 924-3092 ext 1250/1251
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Parental Consent Form