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N: I 117` WAIF U 'CHM. - RANSF.FRRIRC Fun. l. I I. i 115. TAT; LII LAST %IMMO/14M (201 We O 1 t ItVLI •211 LAST P.IBLI: SCHOLL AT Et RUE U IN PALM BE AC‘ LUUN IT 122) DATE ATTENOID FREE OR REDUCED PRICE LUNCH AND HEALTH INFORMATION: (23) NATE YOU FILLED OUT AN APPLICATION FOR F FE I or FEOU:E(I
THE STUDENT A SINGLE PARENT^ Sin _I NO (23) HAS (Do Paid lee this school year in another Florida comfy as verified by receipt a H Paid fee in Pan Beach Count/ as verified by MONO # _..I I Exempt (25) ENTRY CODE: (26) ENTRY DATE: (27) WT DIST. j ADM j ESCL J ESE J MAD (28) TRANSPORTATION:
ses of DTP. s DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated (Complete Part C for Pertussis contraindication ) ▪ Td (Adult) Vaccine is recommended for children 7 years of age or older. Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a fo
FEAT Raids Caw*Mauva Assossmett Spring 2004 NAME: Florida Comprehensive Assessment Test (FCAT) ID: SCHOOL: NORM-REFERENCED TEST DISTRICT: 50 PALM BEACH Grade 10 Student Report This report shows your results from the FCAT National Nonn-Referenced Test. The FCAT Norm-Referenced Test measures your achi
es of DTP. 3 DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) 4 Td (Adult) Vaccine is recommended for children 7 years of age or older. 5 Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a
WRITING ca S2 1— ,-. an oa of K Textbook Assessments E) EDL K FCAT Diagnostic I Practice Tests K Diagnostic Software O Other (see attached) n Palm Beach Writes K Portfolio O Performance Assessments K FCAT Diagnostic/Practice Tests K Diagnostic Sothvare O Other (see attached) ro MATHEMATICS Text
doses of DTP. DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) 4 Td (Adult) Vaccine is recommended for children 7 years of age or older. s Polio 4 doses required. If the third dose is administered on or after the fourth birthday. a
ICS II SCIENCE 4KTextbook Assessments O EDL JR FCAT Diagnostic/ Practice Tests K Diagnostic Software O Other (see attached) O O O • K O Patin Beach Writes Portfolio Performance Assessments FCAT Diagnostic/Radice Tests Diagnostic Software Other (see attached) Wextbook Assessments O pooso O
doses of DTP. 3 DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) Td (Adult) Vaccine is recommended for children 7 years of age orolder. $ Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a
if adclutianal space needed) C. LABORATORY Hemoak>bin/Flematccse 1 I-17: I:2 DitIthrei -. .. ctri.,L.O5.; NAMI: TITLE ADD (PiirsiiA'0t(m) PALM BEACH BLVD. SUITE 201 ROYAL PALM sena'. FL 33411 F. Obsolete. previous 'dittos.) (Stock Nunber: 5744-000-3040-2) Stool (O PI Sickle Cell 30 . 9 L Tub
es of DTP. 3 DT (pediatric) is acceptable if Pertussis vaccine is medically contraindicated. (Complete Part C for Pertussis contraindication.) 4 Td (Adult) Vaccine is recommended for children 7 years of age or older. s Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a
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