We Appreciate Your Business
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...
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We Appreciate Your Business
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.
Comments or Changes:
Names of Passengers
(If more space is needed, please attach additional sheet
Parent(s) Signature
(If more space is needed, please attach additional sheet
Name
Name
Name
Name
Name
Name
Name Date
Date
Date
Date
Date
Date
Date
Signature
Signature
Signature
Signature
Signature
Signature
Signature
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
1.703.618.8712 ~ Fax: 000.000.0000 ~ DCA-sedan.com ~ info@dca-sedan.com
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