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SUMMER 2016NG2016 CAMP SKYLINES HEALTH FORMER SUMMER CAMP PARENT, CHILD NAME:BIRTH DATE:DO BOTH PARENTS LIVE WITH THE CHILD? Y×GENDER:MAY EITHER PARENT PICK UP CHILD AT ANY TIME?|F Y×IMPORTANT NOTES: PHYSICAL
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Both parents live together in the same household.
Both parents are required to file the form.
You can fill out the form by providing information about the living arrangements of both parents.
The purpose of the form is to determine the living situation of the child's parents.
Information about the living arrangements of both parents must be reported.
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