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Name of School Address of School Telephone 5. Name of Records Official Title of Records Official Signature of Records Official Phone Number of Records Official Official Seal RL/TW SR School Verification Form 092315 6800 N. Dale Mabry Hwy. Please assist by completing and returning this form to the Early Learning Coalition of Hillsborough County School Readiness Program by Client s Name SS/ID I hereby give permission for my school to release the following information to the ELCHC School...
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