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FALLBROOK REGIONAL HEALTH DISTRICT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT (“AGREEMENT “) IN CONSIDERATION of being permitted to participate
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Obtain the Fallbrook Regional Health District application form.
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Provide accurate and complete information in each section of the form.
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Include any necessary supporting documents as mentioned in the instructions.
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Sign and date the completed form.
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Submit the filled-out form to the designated Fallbrook Regional Health District office.

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Residents of Fallbrook and surrounding areas who require access to healthcare services.
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