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CHILDBIRTH EDUCATION CLASS REGISTRATION Return completed form to the Admitting Desk, or email to Latino×forks hospital. Participant Information Name: LastFirstBirth Date:Marital Status: S M D W SSN:Address:City:Home
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Return completed form should be returned to the designated authority or department.
All individuals or entities who are eligible to do so.
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The purpose of the return completed form is to report important information to the relevant authorities.
Any relevant information as requested on the form, such as income, expenses, or other financial details.
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