R (31) PHONE NUMBER (82) HOSPITAL PREFERENCE , ia.31 I! ycur child suffers ron any illness or has any physical defects that we should be aware of please Ilst. YOUR OTHER CHILDREN IN PALM BEACH COUNTY SCHOOLS: 84 NAMES OF CHILDREN (85) SCHOOL ATTENDED (86) GRADE (87) BATH DATE / /4) b) . V (8s) I