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OGLEBAY INSTITUTE ADULT HEALTH FORM & WAIVER (Mountain Camp: Terra Alta, WV) Please return this form to the Schrader Environmental Education Center, Oglebay Institute, 1330 National Road, Wheeling, WV[removed]no later than
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Document Date: 2014-02-14 12:04:14

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City

Wheeling / /

Facility

Oglebay Institute / Terra Alta Mountain Camp / Mountain Camp / /

IndustryTerm

insurance carrier / /

MedicalCondition

epilepsy / allergies / bodily injuries / heart disease / diabetes / /

MedicalTreatment

surgery / /

Organization

Schrader Environmental Education Center / Oglebay Institute / /

Position

physician / family physician / camp director / /

ProvinceOrState

West Virginia / /

SocialTag