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201617 Barrow County Schools PHYSICAL, CONSENT & INSURANCE FORM ALL 4 PAGES MUST BE COMPLETED PRIOR TO STUDENT PARTICIPATION IN ATHLETICS Name: Date of Exam: Emergency Contact Name: Relationship:

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What is all 4 pages must?

All 4 pages must refer to the specific sections of a document or form that need to be completed.

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Anyone who is responsible for completing the document or form is required to file all 4 pages must.

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All 4 pages must be filled out by providing accurate and complete information in the designated sections.

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