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Glendale Community College 1500 N. Verdugo Road Glendale CA 91208 818 240-1000 THIS FORM ONLY APPLIES TO APPLICANTS UNDER THE AGE OF 18 AND ENROLLED IN K 12TH GRADES. Failure to submit this form will result in a delay of your admission and registration process. I understand that licensed health providers/state approved health care providers provide all services. Consent is not required but highly recommended. As the parent/guardian of I give permission for the utilization of the health...
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