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Runaway Bay Sport & Leadership Excellence Centre
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Document Date: 2014-06-10 23:48:24


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Facility

Camp Co-ordinator / YES NO DURATION OF STAY AT CAMP / /

Organization

Medicare / VISITING TEACHER MEDICAL CONSENT NOTE PLEASE COPY BACK TO BACK School / /

Position

teacher / *Teacher / /

Product

NO Injections / penicillin / /

Technology

cellular telephone / /