ࡱ> AC@ bjbjss .I!!qqq8///RTTTTTT I#lTq2@22T!!i~~~2d!!8R~2R~~Y~0d~>0~#Z#~#q~/~qlU///TTT*///2222#///////// :  ACTIVITY CONSENT FORM Recognizing that ɫֱ Students may be required to sign a Release and Waiver of Liability form prior to being allowed to participate in any ɫֱ sponsored or sanctioned off-campus activity, I hereby give my permission and approval for my minor child, ___________________________ _________________________ Childs Name (Please Print) NSU Student I.D. Number to sign the Release and Waiver of Liability form on my behalf and, by my signature below, hereby give my approval for him/her to participate in the ɫֱ sponsored or sanctioned off-campus activity indicated on the form. This will avoid my child, who is under the age of 18, from having to get my signed approval each time he/she is required to sign a Release and Waiver of Liability form in order to travel and/or participate in the activity. ______________________________________ Parent or Legal Guardians Name (Please Print) ______________________________________ ___________________________ Parent or Legal Guardians (Signature) Date Please return to: ɫֱ The Office of Student Activities 700 Park Avenue ɫֱ, Virginia 23504     Student Activities/University Center  700 Park Avenue, ɫֱ, Virginia 23504 Tel: (757) 823-8200, Fax: (757) 823-9558 Email: sblowe@nsu.edu Web: http://www.nsu.edu  NORFOLK STATE UNIVERSITY Achieving With Excellence An Equal Opportunity Employer  @ B ] v {   M P    ? 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