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Grand Canyon / CEDU / Western United States / Geography of the United States / Geography of Arizona / Colorado Plateau / Colorado River


PERMISSION/WAIVER OF LIABILITY/MEDICAL RELEASE FORM This form is required for any visiting student staying overnight on campus and must be completed in its entirety. Once this form is completed, please email to discoverg
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Document Date: 2014-10-03 14:53:23


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City

Phoenix / /

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Facility

METHOD OF TRANSPORTATION TO CAMPUS / Grand Canyon University / Recent College / /

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MedicalCondition

Student’s Allergies / ALLERGIES / /

Organization

Recent College / High School / Representative’s Name Online Registration Athletic Department / Grand Canyon University / /

Person

Tara Scibona / /

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Position

Coach / Representative / Self-Driver / Discover Event Coordinator / /

Product

EpiPen / /

ProvinceOrState

Arizona / /

PublishedMedium

Guardian / /

Technology

cellular telephone / /

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