Consent for Transport
I (We)
parent(s) of
to transportation, in a motor vehicle, of our child(ren) by employees of Tri-Cities Behavioral Therapy (TCBT). I also release TCBT of any liability in the event of an accident that results in injury to my child. I further understand that any employee who transports my child will have a current valid driver's license.
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Our address is. Tri-Cities Behavioral Therapy 321 West Walnut Street Box #2 Johnson City, Tennessee 37604
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