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P. O. Box 697 Guernsey Wyoming 82214 307 836-7500 www. wycowboychallenge. org Tammie Kennedy RN BSN Medical Officer/Nurse 307 836-7510 Office 307 836-7525 Fax Email tammie. Kennedy wyo. gov Sports Physical Exam Form Name DOB // Sex M F HT inches WT pounds STI exposure Y N Females ONLY Temp Pulse Resp B/P Tanner Scale LMP // Substance Use Menarche years old Dysmenorrhea Y N Vision test R / L / Both / It is preferred that cadet have 2 pair of glasses Note to Parents If Vision test is 20/20 or...

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