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OUR LADY QUEEN OF PEACE CATHOLIC SCHOOL CLINIC COPY Student Emergency Card Student Name: Address:Grade:Birth Date: TX Zip:City://To serve your child IN CASE OF EMERGENCY, accident or sudden illness, it

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What is our lady queen of?

Our Lady Queen of Heaven

Who is required to file our lady queen of?

The parishioners

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Fill out the form with accurate information

What is the purpose of our lady queen of?

To gather funds for the church's activities

What information must be reported on our lady queen of?

Donations and contributions

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