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PARTICIPATION PHYSICAL EVALUATIONHISTORY FORM Note: Complete and sign this form (with your parents if younger than 18) before your appointment. Name: ___ Date of birth: ___ Date of examination: ___

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Welcome to Lacey Township is a form that individuals or businesses are required to file to officially register their presence in the township.

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Anyone who intends to live or operate a business in Lacey Township is required to file the Welcome to Lacey Township form.

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