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Parent/Guardian Release Form
To Do List for Parents/Guardians
2017 Program


Parent/Guardian Release Form

To complete the application process, a Parent/Guardian Release Form must be downloaded, have a physical signature from the parent or legal guardian, and returned. There are two options for returning the Release Form:

1. You can send the signed and scanned form via email or fax to:

Gabriel Bruguier
MATC Educational Program Coordinator
Phone: 402-472-1927
Amber Hadenfeldt
MATC Communications Associate
Phone: 402-472-1935
Fax: 402-472-0859
2. Or, mail the form to:

Gabriel Bruguier
Prem S. Paul Research Center at Whittier School
2200 Vine Street
Suite 262
Lincoln, NE 68583


If you have questions, or if any issues arise, please contact Gabriel or Amber.

Download the Parent/Guardian release form here.