Epstein Secrets

El Other This page has been updated OV DATE: 4a97 a5- BY: DATE: PBSD 0269 (REV. 1/88) EFTA01709618 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, s. 10D-3.088, F.A.C. and s. 10M-12, F.A.C. LAST NAME PARENT OR GUARDIAN FIRST MI DOB MCYDAAR Child's SS# (optional)

ate Standards la. 1 Elèv sa a gen yon ti siksè tou piti nan matyè ki gen difikilte ladan yo nan egzamen Sunshine State Standards la. Sètifika FCAT Elèv ki fè nbt 5yèrn Nivo oswa elèv ki fè gwo nbt ki pi plis pase 400 nan syans ap resevwa Sètifika pou Siksè. Yo bay tout elèv ki fè nbt 5.5 oswa 6 ak elè

Retain Mr Indicate: Promote (P) Retain (R) - Indicate: Promote (P) Retain (A) 01-93d0 EFTA01709793 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, s. 64D-3.011, F.A.0 and s. 65C-22.006, F.A.C. LAST NAME J PARENT OR GUARDIAN D i r e t t i o n C • Enter all appropri

ate Standards la. 1 Elèv sa a gen yon ti siksè tou piti nan matyè kl gen difikilte ladan yo nan egzamen Sunshine State Standards la. Sètifika FCAT Elèv ki fè not 5yèm Nivo oswa elèv ki fè gwo nbt kl pi plis pase 400 nan syans ap resevwa Sètifika pou Siksè. Yo bay tout elèv ki fè nbt 5.5 oswa 6 ak elèv

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ate Standards la. 1 Elèv sa a gen yon ti siksè tou piti nan matyè ki gen difikilte ladan yo nan egzamen Sunshine State Standards la. Sètifika FCAT Elèv ki fè nbt 5yèm Nivo oswa elèv ki fè gwo nbt ki pi plis pase 400 nan syans ap resevwa Sétifika pou Siksè. Yo bay tout elèv ki fè not 5.5 oswa 6 ak elèv

I PHYSICIAN OR CONIC NAME (PLEASE PRINT) JATELY IMMUNIZED AGAINST 'DANCE. -//,1/2,73 DATE EFTA01710101 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, a 10D-3.088, F.A.C. and S. 10M-12, F.A.C. ATE PARENT OR GUARDIAN FIRS I MI DOB moinAnta Child's 5Stt (optional) ST

ate Standards la. 1 Elèv sa a gen yon ti siksè tou piti nan matyè Id gen difikilte ladan yo nan egzamen Sunshine State Standards la. Sètifika FCAT Elèv ki fè nót 5yem Nivo oswa elèv ki fè gwo not ki pi plis pase 400 nan syans ap resevwa Sètifika pou Siksè. Yo bay tout elèv ki fè nót 5.5 oswa 6 ak elèv