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Niagara Falls City School District Health Services SPORT HEALTH HISTORY Name Sex Age DOB School Grade Address Phone Sports Health Care Provider Phone In case of emergency, contact Name Relationship
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All yes answers must be filled out completely and accurately as required by the instructions.
All individuals or entities who are specified in the guidelines must file all yes answers.
All yes answers must be filled out by answering 'yes' or 'no' for each applicable question.
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