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7:00a6:00p 62200407:00a6:00p 2299538Member First and Last Name Current Phone Number Date of Birth Parent/Guardian Signature By signing above, I agree that I have read this form in its entirety and

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To fill out 40 8 6 14, follow these steps:

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Start with the first digit, which is 40.

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Move to the next digit, which is 8.

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