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Get Status Of Livingston Tomato Varieties. Child Enrollment Form For Day Care Homes Doh-4419

Arent or Guardian 7. Telephone Number Student has a disability which requires a special meal or accommodation. (Refer to definitions on reverse side of this form.) A licensed medical physician must sign this form. 8. Check One Box: Student does not have a disability, but is requesting a special meal or accommodation due to food intolerance(s) or other medical reasons. Food preferences are not an appropriate use of this form. Schools and agencies participating in federal nutrition programs ma.

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