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Fairmount / Anshe


ANSHE CHESED FAIRMOUNT TEMPLE INFORMATION, AUTHORIZATION AND RELEASE FORM (IAR) SCHOOL YEAR[removed]Please review and complete carefully, this form gives us important information about your child and includes important
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Document Date: 2012-05-13 20:16:56


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File Size: 71,17 KB

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Event

Product Issues / /

Facility

Fairmount Temple / What Summer Camp / /

Organization

Religious School / Fairmount Temple Religious School / /

Position

Physician / Private / physician and dentist / Dentist / /

Product

Regular medication / hearing Impaired / /

Technology

cellular telephone / /

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