Student Information


Parent or Guardian Information

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Health History

To protect your child from possible embarrassment, but not exclude him/her from participation, please select any health concerns that we should be aware of.

 

 

 

 

 

 

 

 

 

 

 

Do you know of any health factor that makes it advisable for your child to follow a limited program of physical activity?

Medical Information


2 Emergency Contacts

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$300.00


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