Non-Guardian Pick-Up – Pass

I,
Parent/Guardian Name*
First Last
,give permission to
Name of person picking Cadet up*
First Last
to pick up Cadet
Cadet Name*
First Last
for release from the Challenge Academy program for pass.

Release Date: 23 May, 2025 Return Date: 29 May, 2025.
Parent/Legal Guardian Signature*
Date*

MM slash DD slash YYYY

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