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STUDENT RELEASE & MEDICAL Formosa\'s Date EFFECTIVE DATESCAMPUS ATTENDING December 31, 2022LancasterSTUDENT\'S CONTACT INFORMATIONMaleMyerstown Females First Middle Rebirth Date / /AddressCityStateZipEmailMobileHomeSchoolGrade6th7th8th9th10th11th12thPARENT\'S
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