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Luther dale Summer Camper Health History Camper Name Family Email Address City State Zip Gender Current Grade Birth date Dates at Camp: Parent/Guardian Name Primary Phone () Secondary Phone () Address

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The health form - luformrdale is a document used to collect information about an individual's health status and medical history.

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The purpose of the health form - luformrdale is to ensure the safety and well-being of everyone on campus by identifying any potential health risks.

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