Epstein Secrets

psbck) (optional) Lo4Jt 22. HematocnwHemoglobin GM (optional) ,* --- ,...._ VISION: Right Eye

ki dekri nivo siksè elèv yo pote nan kontni yo teste nan egzamen lekti ak matematik FCAT la. Pi gwo nivo a se nivo 5 epi pi piti nivo a se nivo 1. Piske yo poko detèminen nivo siksè nan egzamenn syans tan, yo klase nbt pou syans lan swivan si li tonbe pi ba. nan mitan oswa pi wo yon tyé pèfbmans elèv toupat

RMISSION FOR MY OVID TO & GAN HEALTH SCREENINGS. THESE. TESTS MAY BE GIVEN INCIYIOUALLY OR IN GROUPS. gi YES YES I NO (251 SODIELA FLUORIDE: I GM PERMISSION FOR MT CHILD TO PARTICIPATE IN THE SOCIUM FLUORIDE PROGRAM 6if YES TO FREVENT DENTAL MCAT. PERMISSION IS VALID THROUGH GRAM SIX. YES

ki dekri nivo siks& elev yo pota nan kontni yo teste nan egzamen lekti ak matematik FCAT la. Pi gwo nivo a se nivo 5 epi pi piti nivo a se nivo 1. Piske yo poko detéminen nivo siksé nan egzamenn syans lan, yo klase nät pou syans lan swivan si Ii tonbe pi ba, nan mitan oswa pi wo yon tyé [Atomens elev toupat

•*•••• w. 1wywer tOY, tie (VW, FOR OFFICE USE ONLY: LITW cOo€ mln ads Lc CON )0 Cit MINSPORTMOI OYFS ONE WRIMATIOM Cyder/On WIS o... Woe GM 121456719T A I Z WIX <ADOM TOCHEA %O OISE CATEGORY CIELN O • 2 34 S S DOCUMENTATION CHECKLIST: (Check wee ANN ody aro notheet) I son o

ki dekri nivo siksé elev yo pote nan kontni yo teste nan egzamen lekti ak matematik FCAT la. Pi gwo nivo a se nivo 5 epi pi piti nivo a se nivo 1. Piske yo poko detéminen nivo siksé nan egzamenn syans lan, yo klase nöt pou syans lan swivan si Ii tonbe pi ba, nan mitan oswa pi wo yon tyé péfömans elév toupat