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St. Norbert College / Wisconsin Association of Independent Colleges and Universities / Wisconsin / Council of Independent Colleges / Midwest Conference


Medical History (i.e., asthma or allergies) _______________________________________________________________________ Emergency Phone Number (H) _____________________________________ Cell _________________________________
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Document Date: 2013-12-03 14:09:59

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File Size: 1,65 MB

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City

De Pere / /

Company

St. Norbert College Inc. / Medical Insurance Company / /

Currency

USD / /

Facility

Shooting Camp / GIRL’S GREEN KNIGHT BASKETBALL CAMPS Camp / Camp Choice / Fundamental Day Camp / p.m. This camp / p.m. Camp / Lawrence University / CAMP STAFF Connie Tilley Connie Tilley / St. Norbert College Basketball Camp / St. Norbert College / WISCONSIN THE CAMPS Camp / St. Norbert College SCHULDES SPORTS CENTER / Basketball Camp / /

IndustryTerm

insurance information / telephone authorization / /

MedicalCondition

allergies / injury / asthma / /

Organization

St. Norbert College / Lawrence University / Green Bay Southwest High School / /

Person

Riley Woldt Coach Woldt / Women / Connie Tilley / /

Position

guard / physician in emergency service / assistant coach / coach / player / Basketball Coach / Age /

ProvinceOrState

Wisconsin / /

SportsEvent

NCAA Tournament / /

SportsGame

basketball / /

SocialTag