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Play / Behavior / Ethology / Learning


POLK COUNTY RECREATION 2014 – 2015 After School/School’s Out Registration *To be completed and placed on file prior to enrollment* Name of Child _______________________________________________Date of Birth_________
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Document Date: 2014-07-25 08:56:27


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File Size: 218,41 KB

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Facility

Stearns Gym / /

Organization

After School / Recreation Department / /

Position

Family Physician / Physician / dentist / /

Technology

cellular telephone / /

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