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Under 18 - Consent and Contact in case of emergency THIS COMPLETED AND SIGNED FORM MUST BE CARRIED BY THE UNDER 18 AT ALL TIMES WHEN ONSITE. PLEASE USE BLOCK CAPITALS. Full Name of under 18: _____________________________
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Document Date: 2014-08-11 12:39:42


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contact telephone number / /

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Diabetes ______Epilepsy / allergies / Asthma / /

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