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EFTA01709707
(M2) AUTHORIZED FOR EMERGENCY PICKUP 0 YES 0,NO (43) If school personnel are unable to contact you Incase of airless or accident, (44) MEDICAL INFO(LMATION 0ist stmloes !esse; basImmor. heath hmeations) may we have your permission to call your doctor or . emergency services (911) for transport to the
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