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Senior Summer Party Waiver


I, ____________________ Hereby give my child ___________________ permission to drink beer at the La Rossa residence. I also assert that  ______________ is traveling with a designated driver, is a designated driver,  (has) arranged for parent-pick up/or has taxi fare. The event ends at Ten (10) PM upon which Dad will clear the house.


Please Circle One

  • Is traveling with a designated driver
  • Is a designated driver
  • Parent will come by and pick up
  • Money for a taxi

         Name                                                   Phone                                       8/10/12

With regards,



James La Rossa 
1756 2nd Street

Manhattan Beach, CA

© 917.692.8000
(t) 310.374.4200


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