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I have provided the administration with a list of any medications taken on a regular basis and the reasons for taking them. I agree to be responsible for prompt and timely payment of any and all tuitions and fees due TGAI for the above named student. For Office Use Only Dt Ck Ca Sc Dis Total 1494 Totts Gap Road Bangor PA 18013 610 588-5817 TottsGap.org arts tottsgap.org Student s Information Adult Students fill out this section and at least one emergency contact and sign at the bottom Student...
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