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Authorization to Disclose Immunization Information Name of Child Date of Birth I, as the parent or guardian of the above named child, hereby authorize (Name of Provider s): to disclose the specific
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East Dayton Christian School is a private Christian school located in Dayton, Ohio.
Families of students attending East Dayton Christian School are required to file the necessary paperwork.
To fill out East Dayton Christian School forms, parents or legal guardians must provide information about the student, contact details, and educational background.
The purpose of East Dayton Christian School is to provide a quality education with a Christian foundation.
The information that must be reported on East Dayton Christian School forms includes student demographics, academic performance, health records, and emergency contacts.
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