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Get Physical Examination Uil Form

Failure to provide truthful responses could subject the student in question to penalties determined by the UIL Student Signature Parent/Guardian Signature Date THIS FORM MUST BE ON FILE PRIOR TO PARTICIPATION IN ANY PRACTICE SCRIMMAGE OR CONTEST BEFORE DURING OR AFTER SCHOOL. For School Use Only This Medical History Form was reviewed by Printed Name Date Signature Student s Name Sex Age Date of Birth Height Body fat optional Pulse BP/ / / brachia.

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