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APPLICATION HEALTH AND DEVELOPMENTAL HISTORY Motor Development Clinic College of Science California State Polytechnic University, Pomona PLEASE PRINT Child's Full Name: Address: Phone: () Area Code
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How to fill out "please print child's full"?

01
Start by writing the child's first name in capital letters.
02
Then write the child's middle name, if applicable, also in capital letters.
03
Finally, write the child's last name in capital letters as well.

Who needs to fill out "please print child's full"?

01
Parents or legal guardians of a child who are required to provide the child's full name in a printed format.
02
Institutions or organizations that may need the child's full name in a clear and legible form for administrative purposes, such as schools, government agencies, or medical facilities.
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Please provide the full name of the child.
The person responsible for filing the form should provide the full name of the child.
To fill out, simply provide the complete full name of the child.
The purpose of this field is to accurately identify the child by stating their full name.
Only the full name of the child needs to be reported in this field.
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