Girl Health History and Emergency Medical Authorization Form This form must be completed annually and as changes occur by the childs parent or guardian and returned to the troop leader andor troop fir - Pdf

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Girl Health History and Emergency Medical Authorization Form This form must be completed annually and as changes occur by the childs parent or guardian and returned to the troop leader andor troop fir

Use additional paper if needed Childs Name Address City State ip Date of Birth Age School Grade Troop Number PARENTGUARDIAN INFORMATION Child is i n the custodial care of Both Parents Mother Only Father Only Other ParentGuardian Address if different

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Girl Health History and Emergency Medical Authorization Form This form must be completed annually and as changes occur by the childs parent or guardian and returned to the troop leader andor troop fir






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