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ENT EVER: I MEN EXPELLED /NOM SCAM? 2 hAD AN ARREST MSATERG IN A VOW 3 PAO ANT ,NPRIIII1 ADM( ACTIGNIT O EFTA01710365 HE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEM/RETURNING STUDENTS REGISTRATION BACK STUDENT S WI 'N (CHECK ONE) OTN PARENTS 0 MOTHER n FATHER ll SEARED CUSTODY U OTHER UV NSIOR'ED
t/Guardian notification: Yes, my child will attend summer school No, m child will NOT attend s cc: Student Cumulative Record EFTA01710434 PALM BRACH COCNTY PUBLIC SCHOOLS Elementary Interim Report of Unsatisfactory Progress 4 School: 2 Crads: 2? To the parent or guardian of This report is to advi
an or Clinic Name: (Print or stamp) Address: Expiration Date: (r9 dart after nest humanization appo Physician or Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c
DEACIE I L I 4)9$ DO SOMETHING - VOTE I Ind ul US. POMACE LAID VArM Palm Rennel %JOANN 164 RETURN SERVICE REQUESTED VOTER IDENTIRCATI0N PAl FA BEACH COUNTY. FLORIDA AIMMItAllOviamER INOTTUSIOROMT OSiI0/01 ROYAL IMACSICI 0 A 14 YOURPRECINCT ImeARER YOUR OOLONG LOCATION IS, PRESENT 1111$ CARO AT Y
nic Name: (Print or stamp) Expiration Date: (t5 days after next immunization appointment) Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c
ON .OW RENT SERVICES ACTIVE MITT? ARMY PROPERTY LOCATED HOUSING LOCATED OF TIE UNITED 0 YES 0 COAST GUARD IN IN 0 PALM BEACH COUNT/. PALM BEAN COUNTY. STATES. MO N MARINES 0 NATIONAL GUARD ll NAVY 1 41 HAS THIS OHIO REIN ENROLLED IN AN PRY srannt, C. CHAPTER I I C. PREK DISABILITIES 9
. Physician or Clinic Name: (Print or stamp) Address: xpirAtion ate osaasiltroexibmigilitkitiir Physician or Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c
when is row( e Sena and the cost & my :hols education is occupied as ny residence. provded in part Dr Melly by Federal subsidy. J H Pad fee in Palm Beam County as velsec by Q C Have filed a mailestation cf domicile in lbs wave OF Am a migratory agricultural worker. Montt _.. _ J I Exempt (25) ENTRY C
rvice Address: Riviera Bea L 33404 Phone: Expiration Date: (IS days after next Physician or Authorized Signatu A. 41/21-4goo/ w 7 3.0) •, Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 / c
Entities connected to both Palm Beach County and Permanent Medical Exemption

Jeffrey Epstein
PERSONLeon Black
PERSON
George W. Bush
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United States
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Palm Beach
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Ghislaine Maxwell
PERSONMaria Farmer
PERSONCourtney Wild
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Tallahassee
LOCATIONDoug Band
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Jacksonville
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Joi Ito
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Vicky Ward
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Samantha Power
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Michael Jackson
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Tampa
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Condoleezza Rice
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Mao Zedong
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Royal Palm
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Vince Foster
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