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TUSKAWILLA UNITED METHODIST CHURCH CHILDREN’S MINISTRIES 3925 RED BUG LAKE ROAD CASSELBERRY, FL[removed]PARENTAL CONSENT & MEDICAL AUTHORIZATION (VBS[removed]Name of child: _____________________________ Date of birth:_____
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Document Date: 2012-06-06 12:26:28


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City

CASSELBERRY / /

Company

Medical Insurance Company / /

IndustryTerm

insurance card / /

Organization

Tuskawilla United Methodist Church / /

Position

Physician / /

ProgrammingLanguage

FL / /

ProvinceOrState

Florida / /

SocialTag