C2 Pipeline Warriors Program 2015

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WSU C2 Pipeline Warriors
College Experience
July 26th, 2015 through August 26th, 2015
WSU C2 Pipeline Warriors College Experience Personal Property Statement
The WSU C2 Pipeline Warriors College Experience (“Program”) is not responsible for any lost,
stolen or damaged personal property. The Program recommends leaving all valuable items at
home. If it is necessary to bring an item of value, I understand that I will be responsible for
taking all proper measures to secure the property when not in my or my child’s presence.
I understand that I am responsible for all personal property I bring to the WSU C2 Pipeline
Warriors College Experience.
Participant Name: _______________________________________________________________
Signature: _____________________________________________________________________
Date: _________________________________________________________________________
Parent/Guardian Name: __________________________________________________________
Parent/Guardian Signature: _______________________________________________________
Date: _________________________________________________________________________
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The C2 Pipeline is a Wayne State University, College of Nursing Program
Funded as a 21st CCLC program through the Michigan Department of Education
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