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SUMMER CAMPS HEALTH EXAM/RECORD FOR CAMPERS AND STAFFPlease Return Completed Form to the Pataphysical Exams Are Valid For 3 Years From Date of Last ExaminationCamperStaffName Date of Birth Phone Guardian
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The image is a health form for day camp at the Italian Center.
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The form must be completed with the child's personal and medical information, and signed by a parent or guardian.
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