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minor's date of birth is ——1—1 1 approve of minor's occupational duties as described by...

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Page 1: minor's date of birth is ——1—1 1 approve of minor's occupational duties as described by employer. Signature of parenthegal guardian Phone number/address of parenthegal guardian

Page 2: minor's date of birth is ——1—1 1 approve of minor's occupational duties as described by employer. Signature of parenthegal guardian Phone number/address of parenthegal guardian

Page 3: minor's date of birth is ——1—1 1 approve of minor's occupational duties as described by employer. Signature of parenthegal guardian Phone number/address of parenthegal guardian

Page 4: minor's date of birth is ——1—1 1 approve of minor's occupational duties as described by employer. Signature of parenthegal guardian Phone number/address of parenthegal guardian

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