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Section 1: To be filled out by parent or guardian Participant name: Date of Birth: Grade: Age: Home Address: City/State/Zip Code Mother's Name: Father's Name: Physician Phone Number: Physician Name/Office:
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Section 1 is the section of the form where an individual provides their personal information such as name, address, date of birth, and citizenship status.
Any individual who is completing the form is required to fill out section 1.
To fill out section 1, the individual must provide accurate and truthful information about themselves as requested on the form.
The purpose of section 1 is to collect and verify personal information of the individual filling out the form.
Information such as name, address, date of birth, Social Security number, and citizenship status must be reported on section 1.
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