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2019 DEWITT YMCA HEALTH FORM Name of Childcare at CampBirthdateParent Name #1Parent Name #2Cell Phone #Cell Phone #Work Phone #Work Phone #HEALTH INFORMATION THIS CHILD IS ALLERGIC TOFOODMEDICINEENVIRONMENTALOTHERNO
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01
Obtain the 2019 DeWitt YMCA Health form.
02
Fill in your personal information, including your full name, address, and contact details.
03
Provide your insurance information, if applicable.
04
Answer all the health-related questions accurately and honestly.
05
Sign and date the form to certify that the information provided is true and complete.
06
Submit the filled-out form to the designated recipient at DeWitt YMCA.

Who needs 2019 dewitt ymca health?

01
Anyone who is a member or intends to become a member of DeWitt YMCA in 2019 will need to fill out the DeWitt YMCA Health form. This form helps the YMCA understand the health status of its members and ensure their safety while engaging in various physical activities or using the facilities.
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The DeWitt YMCA health form is a document that gathers information about an individual's medical history, current health status, and emergency contacts.
Anyone participating in programs or using facilities at DeWitt YMCA may be required to file the health form.
The DeWitt YMCA health form can typically be filled out online or in person by providing accurate and up-to-date information regarding your medical history, current health status, and emergency contacts.
The purpose of the DeWitt YMCA health form is to ensure the safety and well-being of individuals participating in programs or using facilities by allowing staff to be aware of any medical conditions or concerns.
Information such as medical history, current health status, medications being taken, allergies, and emergency contacts must be reported on the DeWitt YMCA health form.
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