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Student Enrollment: 3 of 4

In order to provide an optimum environment, it is important that we have an understanding of your child's health status.
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Asthma
Blood Transfusions
Broken Bones
Diabetes
Head Injury
Heart Condition
Rheumatic Fever
Fainting Spells
Seizures
Surgery
Vision
Hearing
Allergies
Medication
Food
Environmental
Other
Is the student on medication?*
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Is there any reason he/she cannot participate in a full program, including physical education activities?*
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Have there been any stressful events in your child's life that could have an impact on their emotional well-being? Example: death or serious illness in immediate family, major economic changes, abusive behavior, recent divorce or remarriage?*
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3 of 4 - Be sure that you submit after each page.

Return to the student enrollment page HERE and select the Page 4 button. Almost done!