Print out, fill in and return completed form to Mr. Shutt by: Wednesday, Feb. 4
(Child's name)_______________________________________ has my permission to compete in the U.S. Amateur East Team Tournament.
_____ I am available to chaperone my child and ______ others.
_____ I can chaperone my child, but cannot take any others.
_____ I want my child to attend, but cannot chaperone him or her.
_____ My child cannot participate in this event.
________________________________________
(Parent’s signature)
________________________________________
(Date)
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