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Armens - Medical Consent Release

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Holy Martyrs Ferrahian High School

Սրբոց Նահատակաց Ֆերահեան Երկրորդական Վարժարան

Holy Martyrs Marie Cabayan Elementary School

Սրբոց Նահատակաց Մարի Գապայեան Նախակրթարան

 

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Please checkmark all necessary . If yes, please explain in the box below.
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Allergic to Medicine
Asthma
Diabetic
Allergies
Convulsive disorder
Tetanus shot current?
Special diet as prescribed by a doctor?
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Any excersice your child should not do?
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Is your child covered by Insurance?
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We agree to hold HOLY MARTYRS ARMENIAN ELEMENTARY & FERRAHIAN ARMENIAN SCHOOL harmless of any liability resulting from injuries or loss of property sustained by me/our child during any function. I/We give consent for our child to receive medical treatment by a registered or licensed physician when deemed necessary.

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