2016 kids kuts flyer & permission slip

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Co-sponsors: NAUW Harbor Lites Links

1st Come, 1st Served

Please complete the information on the reverse side and return to: Waukegan Township Supervisor’s Office 149 S. Genesee St., Waukegan, IL 60085 Attention: Tami Springs 847-244-4900 tsprings@waukegantownship.com

Students MUST present certificate to barber in order to receive services.

NO EXCEPTIONS

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Co-sponsors: NAUW Harbor Lites Links _____________________________________________ Child’s name

Age

_____________________________________________ School

Grade

NAME CONTACT NUMBER EMAIL ADDRESS RELATIONSHIP TO CHILD

I, ____________________________________, do hereby give permission for my child, _______________________________________ to participate in the Waukegan Township and the Coalition to Reduce Recidivism’s Kids Kuts Initiative, on September 19 - October 19, 2016. Haircuts will be provided by: U-Next Barber Academy 6170 Grand Avenue, Entrance H, Gurnee Mills Mall.

Gurnee, IL 60031 I also consent to the use of his/her photographic likeness to be used in the future promotion of this event and understand that transportation to and from the location is solely my responsibility. _______________________________________________ Parent/guardian signature

_______________ Date