Revised 4/9/13 page 1 of 4 copy this clearance form for the student to return to the school. keep the complete document in the students medical record. 2013 2014 sports qualifying physical examination clearance form minnesota state high school...
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Aqua zone 2015 individual season pass pass holders name home address apt# male female todays date: city state zip home phone cell phone work phone email guardian/parent information (if pass holder is under 18) name home address apt# male city...
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Maryland works, inc. 10270 old columbia rd., suite 100 columbia, md 21046 4103818660 * fax 4103811558 a day of free training for employment works program participants introduction to the employment works program thursday, january 26, 2012 morning...
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Fitsteps for life fill out this form and give to your physician. physician fax copy of referral to: dallas (972) 6640549 east texas (903) 5617975 patient name: date: dob: sex: phone number: address: city: zip: diagnosis: stage: i ii iv...
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Adult release of liability and medical information for ncyc trip to indianapolis, november 17 19, 2011 diocese of saint augustine i, , hereby acknowledge that on , 20 , i am scheduled to take a trip to arranged by and through . i, , in the event...
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Head office: near badi, kaman, jm road, bijapur01 mob.: 9740301, 9742312212 .kme.org.in email: feedback kme.org.in application form for free computer network training program *note this training program is only for those who passed in computer...
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Head office: near badi kaman, jamiya masjid road, bijapur 01 (karnataka) mob: 09740301, 9742312212 application form for free destktop & laptop training program please make all entries in block letters first name middle name last name date of birth...
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A licensed event titling event w/tournament classes hosted by agility workout society of midmichigan being held at: all dogs can lapeer, mi july 11 13, 2014 closingdate:wednesday,july2,2014 secondaryclosingdate:monday,july7,2014...
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Plm industry summary christine bennett, editor vol. 12 no. 4 friday january 29, 2010 contents company news 2 altairs free cae software training program helps more than 250 displaced michigan engineers broaden skills, increase employment...
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Mentorship program20142015the calgary bridge foundation for youths mentorship program is a schoolbased program where immigrant students join togetherto participate in both group and oneonone mentoring activities at specified school locations. the...
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This 3 week 90 minute workout will get players ready for the season. skills and drills will be taught by basketball instructor cindy fagan who runs our k2 clinic. who: 36th grade girls and boys where: sea girt elementary gym when: nov.1, nov.8th...
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In the commonwealth court of pennsylvania anthony e. dougherty, petitioner v. workers compensation appeal board (city of philadelphia), respondent before: : : : : : : : : no. 705 c.d. 2014 submitted: september 12, 2014 honorable dan pellegrini,...
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H1794.2 house bill 1946 state of washington 55th legislature 1997 regular session by representatives kenney, dyer, cody, van luven, chopp, cooke, keiser, anderson, cole, cooper, veloria, hatfield, constantine, morris, obrien, ogden, blalock,...
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Clinical practicum training program in psychology 20132014 directoroftraining: nicola r. brown, ph.d., c.psych. psychologistinchief: kenneth j. zucker, ph.d., c.psych. table of contents overview of camh 3 overview of the application procedure 5...
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Counselor-in-training program description and application thank you for your interest in becoming a camp friedlander counselor-in-training (cit)! the cit program will provide you with numerous growth and educational opportunities and will serve as...
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