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Get Health History Form for Camp Staff

13926 Pathway Ave Truckee, CA 96161 (before June 1, 2012) Fax #530-550-8426 Ph #530-214-8903 Skylake Yosemite Camp 37976 Rd 222 Wishon Ca, 93669 (after June 1, 2012) Fax #559-642-3395 Ph#559-642-3720 Questions? Name: _______________________________________________________________________ First Name Middle Initial Last Name Date of Birth: _____________________________________ Month Day Sex: ______________________ Year Permanent Address: __________________________________________________.

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