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Cute Young Girl

Receipt of Information Form

Please read and sign the form below.

Receipt of Information Form

I,

, custodian of



have been provided information about the House of Hope for Girls Program services, environment, age ranges and behavioral characteristics of other participants in the program. I have considered this information provided and have determined that the environment is appropriate and does not represent an undue risk to the health and safety of


 

Receipt of Information Form

I,

, custodian of



have been provided information about the House of Hope for Girls Program services, environment, age ranges and behavioral characteristics of other participants in the program. I have considered this information provided and have determined that the environment is appropriate and does not represent an undue risk to the health and safety of


 

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