Pirate Care Club Application Form
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Waiver: I have read the Pirate Care Club Handbook and understand the procedures governing the program.  I understand the enrollment is voluntary and that I shall not hold Wheelersburg Local Schools responsible in the event of an accident. I give my child permission to participate in the program. I also hereby give consent for the administration and treatment deemed necessary by the school staff, doctors, and transport to a hospital that is reasonably accessible. *
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