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Release of Information Form

I give my permission for my child to participate in the Kinship program. I also give my permission and consent for Kinship of the Park Rapids Area to contact my child’s school and any other community professionals (health and social service agencies) who may be involved with our family for the purpose of determining my child’s eligibility and appropriateness for the Kinship program, to help in selecting an appropriate volunteer for my child and/or in helping the staff and volunteer learn how to best relate to my child.
Child's Name(Required)
Parent/Guardian Name(Required)
Date(Required)

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