This document appears to be a break form for a parish youth movement. It requests the name of the person taking a break, the dates of the break, and the reason for the break. The form is signed by the youth animator.
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Parish youth break request form
1. PARISH YOUTH MOVEMENT
BREAK FORM
NAME :
FROM : TO:
REASON FOR BREAK
Yours truly YOUTH ANIMATOR
PARISH YOUTH MOVEMENT
BREAK FORM
NAME :
FROM : TO:
REASON FOR BREAK
Yours truly YOUTH ANIMATOR