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Art Class Registration Form Student Name: Grade: Parents Name of Child Student: Address: City/State Zip Home pH: Work pH: Email: Cell pH: Any Allergies? Y / N Does student carry ? CLASS/WORKSHOP(S)

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18 hurt in jersey is a form used to report injuries sustained by employees while on the job.

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Employers are required to file 18 hurt in jersey for any work-related injuries.

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Information such as the date of the injury, location, nature of injury, and treatment received must be reported on 18 hurt in jersey.

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