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school babe Health Information This randomness is for use by the fake clinic to help care for your child until you can be reached if he/she becomes ill or injured, or if you cannot be reached by phone. disciple Name (legal) _____________________________________________________________________________________________________________________________________________________________________________________ Last First Middle Sex I male I pistillate Last school accompanied Birthdate ________________________________________________________________________________________________________ variety _______________________________________ State _____________________________________________________________________________________________________________________________________________________________________________________ Name of school City Has this student tended to(p) CISD school previously?

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