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PARTICIPATION HISTORY AND PHYSICAL EXAMINATION (This form is not required as long as the conditions of 18.13.0 are met)Name:Birth Date:Address:Exam Date:City:Phone:Zip: Sport:HISTORY Yes 1a. b. c. d. e. f. g. h. 2. 3. 4a. b. c. d. 5. 6a. b. c. d. e. 7a. 8. 9a. b. 10. 11a. b. c. d. e. f. 12. 13. 14. 15.

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The 0 are met refers to a specific governmental reporting requirement that may apply to certain businesses or entities based on their activities or financial thresholds.

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