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EXHIBIT B4C. *SIGNATURE REQUIRED ON COMPLETED FORM PARTICIPATION IN THE ABOVEREFERENCED ACTIVITY AND/OR TRAVEL5HY ... MEDICAL INFORMATION AND RELEASE FORM ADULT. (Please PrintClearly) ... I, the undersigned,
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studentb4cmedformadultdoc - utdallas is a form required by the University of Texas at Dallas for students who are transitioning from being minors to adults.
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