""Parent/Guardian Signature"" — Epstein Files Search

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15 results for “"Parent/Guardian Signature"”

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EFTA01709707Set 10

2003-05-0773p17,894w

CHILD (fast Erg mktila Coda.) SCHOOL ATTENDING STUDENT NO. (optional) GRADE DATE OFBIRDI ( PARENT/GUARDIAN SIGNATURE Iiiiitikirg laKSWE I verify that the information given is true and accurate to the best ... at40 SCHOOL ATTENONG STU004T NO. (0priNNO GRADE DATE OF BIRTH I PARENT/GUARDIAN SIGNATURE FOR OFFICE USE ONLY (S3)SCH NO. (5<)STUDE NT NO I verify that the information given ... SCHOOL ATTENDING STUDENT NO- (00600•) GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE Ftheidgnettianitilici. I verify that the inform ation given is true and accurate to the best of my knowledge

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709707.pdf

EFTA01710219Set 10

2001-07-0197p30,081w

STUDENT NO. WOW (92)GRSOE (93)DATE OF BIRTH FOR OFFICE USE ONLY PARENT/GUARDIAN SIGNATURE (M)SCHN1 DEISROENT Na (96)CCG (5?)aTRY CD (93) EMIG DATE ... CHILD gas rus4 marl* nano SCHOOL ATTENDING STUDENT10. (0P9orta0 GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE '''''' ''' dan i ' • • • ••• ...,....... I verify that the information given Psysot4 sk**: is true and accurate ... CHILD rust middle. IMO SCHOC4. ATTENDING STUDENT NO. (optional) GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE IFARV,:figigEWSAten verify that the information given is true and accurate to the best

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710219.pdf

EFTA00794310Set 9

2019-01-045p1,412w

Work #: Claim Service #: Cell #: WITNESS our signatures this the day of , 20 Signature of Parent/Guardian Signature of Student Subscribed and sworn before me this day of , 20 in County

https://www.justice.gov/epstein/files/DataSet%209/EFTA00794310.pdf

EFTA01709902Set 10

CH COUNTY OF PAL BEAFLORIDA BOARD COUNTY THE SCHOOL ALM EACH PALM B CARD KINDERGARTEN

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709902.pdf

EFTA01221126Set 9

Have you ever been diagnosed with Sickle Cell Trait? Cadet Signature Date Parent/Guardian Signature Date Part B - If any of the answers to the questions above were YES, request that

https://www.justice.gov/epstein/files/DataSet%209/EFTA01221126.pdf

EFTA00522224Set 9

2017-10-084p994w

injunctive relief, actual and punitive damages as well as attorney fees. Client or Parent/Guardian Signature: Policies and Procedures Cancellation/No Show Policy: I understand that I am required to cancel

https://www.justice.gov/epstein/files/DataSet%209/EFTA00522224.pdf

EFTA01727087Set 10

2005-12-1637p13,398w

mkkAt WO SCI4DO1 ATTENDING STUCENT NO. (own) GRADE DATE OF BAIR OR/3 SE PARENT/GUARDIAN SIGNATURE csi) sal HD (AMCOR ICI Og oat mama) enemy DATE DA ORire

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01727087.pdf

EFTA01710036Set 10

2005-12-1635p13,401w

Aida WO SO-DO. ATTENDING STUDENT 113. (optarisO GRADE DATE OF OATH RIO S PARENT/GUARDIAN SIGNATURE cs3):04,0 (SODOM ICI. DECO. ca WRY CO OT DOMDAN MI GALre

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01710036.pdf

EFTA01246249Set 9

SOMME OFCHILD east Fat. °Akio MOO SCHOCC. ATTENC*90 STUDENT NO. Rollos* WADE DATEWORN PARENT/GUARDIAN SIGNATURE .... . . 0.0,10VV. .... -.7.. stiii4o_Ta *NUE ;?*" - r' c.3,/ I verify that the information

https://www.justice.gov/epstein/files/DataSet%209/EFTA01246249.pdf

EFTA01709600Set 10

2003-05-09100p26,354w

CHILD (Ent middle. HAD SCHOOL ATTENDING STUDENT NO (c9bons0 GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE FOR OFFICE USE ONLY (53) SOT NO (54) STUDENT NO (5$) OCR 51) ENTRY

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01709600.pdf

EFTA00605807Set 9

complete transcr4— of any standardized tests, behavior records/evaluations I that the records are confidential. Parent/Guardian Signature:) Date: 00 7 To the School Head or Registrar The student named above

https://www.justice.gov/epstein/files/DataSet%209/EFTA00605807.pdf

EFTA00608222Set 9

2015-09-101p268w

behavior records/evaluations directly to Admiral Farragut Academy. I understand that the records are confidential. Parent/Guardian Signature: Date: To the School Head or Registrar The student named above is applying

https://www.justice.gov/epstein/files/DataSet%209/EFTA00608222.pdf

EFTA00313915Set 9

notice to: NYU Langone Physician Servic es, PO Box 415662, Boston, MA 02241 Patient (Parent/Guardian) Signature Date EFTA00313915

https://www.justice.gov/epstein/files/DataSet%209/EFTA00313915.pdf

EFTA00605841Set 9

records/evaluations directly to Ad*al-Farragus Academy. irtpicig. tand that the records are confidential. Parent/Guardian Signature: Date 017 To the School Head or Registrar The student named above is applying

https://www.justice.gov/epstein/files/DataSet%209/EFTA00605841.pdf

EFTA00308055Set 9

written notice to: NYU Langone Physician Services, PO Box 415662, Boston, MA 02241 Patient (Parent/Guardian) Signature Date EFTA00308059 , NYU Langone Health HEALTH INFORMATION EXCHANGE, CARE EVERYWHERE AND HEALTHIX CONSENT FORM

https://www.justice.gov/epstein/files/DataSet%209/EFTA00308055.pdf

Corpus: 1990-03-17 – 2025-12-01

May 2003

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Results by Dataset15 total

Set 9

9

Set 10

6