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Child Health and Disability Prevention (CHIP) Program Participation Physical Evaluation History Form Child's Name: Sex: Age: Date of Birth: Grade: School: Sport(s): This form should be filed in the
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Child's name, sex, and age refer to the personal information of a minor including their name, gender, and age.
Parents or legal guardians of the child are usually required to provide the child's name, sex, and age for official records or documentation.
You can fill out the child's name, sex, and age on official forms or documents by providing the accurate and up-to-date information requested.
The purpose of providing a child's name, sex, and age is to accurately identify and record the individual for various administrative, legal, or personal reasons.
The information required to be reported includes the child's full name, gender, and date of birth or age.
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