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The Wade Institute for Youth Equity

2024-2025 Junior Fellowship Program

Consent Form/Formulario de Consentimiento

Student's Name - Nombre de Estudiante*

Parent/Guardian's Name - Nombre de Padre/Madre/Tutor*

Date/Fecha*

I give my child permission to participate in the program. /Le doy permiso a mi hijo(a) para la programa.*

Yes/Si

No

Signature/Firma del Padre/Madre/Tutor*

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Established in January 2010, LCHE is a statewide nonpartisan nonprofit organization with IRS status as a 501 (C) (3) tax exempt public charity.

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