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Health Form Summary


 




Group/Unit:  ____________________________________
Site:__________________________________ (Office Use only)
Contact Leader:  _________________________________
A photocopy of the official health form to be attached for each registered participant
**You may print this page and fill it in.  Please bring it with you to Rendezvous 2001
 
 

Camper's Name
Age
M/F
Medical Concerns
Medication Brought
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Photocopy of official health form to be attached for each registered participant
 

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