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$330
$700
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Emergency Contact:
Name: _________________________________________________ Relationship __________________________ Phone _____________________
I understand that in the event of an emergency PRT/SoDA will make every effort to reach me but if that is not possible, they have my permission to seek appropriate medical care through Community Hospital of Monterey Peninsula. I understand that Pacific Repertory Theatre and SoDA will not be held responsible for any
medical expenses for me or my child.
Parent/Guardian Signature ____________________________________________________________________