This government document is issued by Somerset County for use in Maryland
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https://www.google.com/url?client=internal-element-cse&cx=e1d61c8eb0aa21666&q=https://www.somersetmd.us/document_center/Department/Rec.%2520%26%2520Parks/DP%2520Sponsorship%2520form.pdf&sa=U&ved=2ahUKEwjYpMeOtOKGAxVfQ_EDHZZ1FCo4HhAWegQICRAB&usg=AOvVaw19Ikbfc8c2I4ZiRCKBd8bb&arm=e&fexp=72519171,72519168