Ymca medical clearance form (to be completed if answered yes to any parq questions) sdf dear doctor: has applied for enrollment in fitness testing and/ or exercise programs of the ymca. the fitness testing involves a submaximal test for...
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Annex d to summer camp 15 dated 19 mar 15 civilian use of army obstacle course, physical activity readiness questionnaire all information will be treated confidentially 1. please complete the necessary details below. participants name: dob tel no:...
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Chronic illness benefit application form 2016 contact us tel (members): 0860 99 88 77, tel (health partner): 0860 44 55 66, po box 784262, sandton, 2146, .discovery.co.za who we are the discovery health medical scheme (referred to as the scheme),...
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Student name: class tshirt order form class tshirts will be ordered during the first few weeks of school and they will be worn for various spirit days throughout the school year. please fill out the following order form and return it to the office...
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Full name: d.o.b address: city prov phone number: pc email: emergency contact: emergency phone#: have you filled out a par-q form? purchased (y/mm/dd) yes paid by amount or no purchased 8 punch paid by amount one classes 16 punch classes (on...
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Embracing a full lifein columbia cityi just finished watching an online presentationby dr. bill thomas, a geriatrician who is workingto change the cultural landscape of aging. billhas long served as an inspiration to me and myteam at full life...
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The corporation of the township of p.o. box 550, 280 burleigh street apsley, ontario k0l 1a0 (705) 656-4922 fax: (705) 656-6 .northkawartha.on.ca north kawartha fitness centre membership form name membership # address telephone (home) cell...
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Glaucoma a patients guide to the disease, 3rd edition. gla http://.glaucomaresearch.ca/test/treatment/orderbook.shtml glaucoma a patients guide to the disease, 3rd edition i would like to order copies of glaucoma: a patients guide to the disease...
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Ordering is easy! by phone: call 15182099540, monday through friday, 8 am 6 pm, eastern time. have your credit card ready when you call. (you don 't have to use the order form for this method, but it will save you time.) by fax: fax us your order...
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Parq & you physical activity readiness questionnaire parq (revised 2002) (a questionnaire for people aged 15 to 69) regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. being more...
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Complementary health readiness questionnaire learners enrolled on complementary health courses thank you for enrolling onto one of our adult learning courses due to commence over the next few weeks. due to the nature of the course you have chosen,...
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Palmer mutual telephone company is proud to offer palmer dsl to our customers dsl internet application customer information do you currently have internet? yes no do i dialup for service? no, connection is constant, you never dialup or login. can...
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Nwosem sleep society a non profit organization of sleep professionals p.o. box 167878, oregon, ohio 436167853. .nwosemsleep.org executive committee president navin jain, md 4196934151 vicepresident dean calvin, rpsgt 4194272604 secretary marty...
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Benita l. copley 2208 river oak lane fort myers, florida 33905 (239) 848-0147 career objective to become a valued member of a well respected, progressive, stable organization where there is advancement potential for those who demonstrate growth,...
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South gate masonic hall association 1004 s.w. 152nd street burien, wa 98166 2064339945 or 2062905765 .southgate100.org/hall rental southgate100 hotmail.com facility rental agreement 1. landlord. name and mailing address: south gate masonic hall...
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