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Student Name (please print) ___Date of Birth___LastFirstFormSt. Paul's School Clark House 202122 PHYSICAL EXAMINATION/IMMUNIZATION RECORD REQUIRED FOR ALL STUDENTS. TO BE COMPLETED BY HEALTH CARE

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The Connecticut State Department of Education oversees public education in the state.

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Information such as budget allocations, program offerings, student demographics, and academic performance must be reported on the Connecticut State Department of Education forms.

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