Professional Documents
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Miner Release Form
Miner Release Form
1.703.618.8712 ~ Fax: 000.000.0000 ~ DCA-sedan.com ~ info@dca-sedan.com The process of this application requires a Physical Signature. Please complete the entire application, print it, sign it and fax it to 000.000.0000
I understand that DCA Sedan Services will be providing transportation for minors on Parental permission is required on all transportation without adult supervision for minors under the age of 18 years old and For minors under the age of 16 with adult supervision. This is a complete and full release of all claims regarding the transportation. I release DCA Sedan Services and all agents and owners from all claims and liability. Parent(s) Signature
Name Name Name Name Name Name Name (If more space is needed, please attach additional sheet Signature Signature Signature Signature Signature Signature Signature Date Date Date Date Date Date Date
Names of Passengers
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