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CALIFORNIA STATE UNIVERSITY BAKERSFIELD DEPARTMENT OF ATHLETICS ATHLETIC TRAINING STATEMENT OF BENEFICIARY Name of Policyholder California State University Bakersfield-Department of Athletics Name of Student-Athlete Insured Sport Quarter/Year Subject to the terms of the above policies I request that any sum becoming payable to a beneficiary under said policies by reason of my death during a CSUB scheduled practice conditioning competition off-season play under the supervision of an authorized...
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