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4-H / Agriculture / Agriculture in the United States / Cooperative extension service / Rural community development


FY4-HExCEL Release and Waiver of Liability (ALL GROUP MEMBERS, PARTICIPANTS & NON-PARTICIPANTS MUST SIGN A FORM)
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Document Date: 2015-04-06 16:33:59


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File Size: 119,56 KB

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Facility

University of Arkansas / /

IndustryTerm

health services / health insurance carrier / /

MedicalCondition

cuts / illness / No Yes No Allergies / injury / injuries / rigors / bodily injury / /

Organization

United States Department of Agriculture / Arkansas 4-H Foundation / Arkansas 4-H Center / University of Arkansas / Arkansas Cooperative Extension Service / /

Position

attending physician / /

ProvinceOrState

A. B. / Arkansas / /

SocialTag