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Kay and Jim Morris Advanced Therapy Center 1100 East Market Street 502.596.1141 Fax 502.596.1441Swim Lesson and Pool Consent Form Date Participants Name Birthdate Parent/Guardian (if under 18) Patient
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Kay and Jim Morrissey refers to a fictional couple used as placeholders for personal information on forms.
Kay and Jim Morrissey are not real individuals, they are used as placeholders for demonstration purposes.
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