A
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B
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C
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D
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E
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F
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G
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H
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I
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J
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K
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L
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M
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N
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O
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P
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Q
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R
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S
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T
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U
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V
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W
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X
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Y
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Z
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Directory Results for Preparticipation Physical Evaluation CLEARANCE Name Sex Age Date of Birth Cleared without restriction Cleared to Preparticipation Physical Evaluation Date of Exam Name Sex Age Date of Birth Grade Sport(s) Address Phone Cell erea Personal Physician Phone In case of emergency, contact: Cell Phone Name Relationship Phone(H) (W) Explain Yes answers below