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Get Application - Moon Valley High School

Ictions: state ( ) Age : M L zip code ( Female XL ) XXL Grade fall 2010 ( ) Please include Proof of School Enrollment Do you have health problems or disabilities that require special attention? If yes, please describe: If selected to participate in the Ag-Discovery Program the following items will be required. Please do not send these documents with your application. 1) A copy of your IMMUNIZATION FORM from your physician or local health department 2) Proof of health coverage.

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