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0 GPA or above Yes No Student was cleared to participate in athletics on 20 Signature Name I Business Services Shared/Athletic Team/Extra Curricular Activity/Emergency Info August 2012. FOLSOM CORDOVA UNIFIED SCHOOL DISTRICT Athletic/Extra Curricular Participation EMERGENCY INFORMATION Student Name Grade Birth Date Age Parent/Guardian Name Address Home Phone Father s Cell Phone Father s Email In an emergency if parents cannot be contacted please notify Name Relationship In emergency cases...
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