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Get West Suburban YMCA Health History Form

N the completed forms and other documentation via email: campingservices@westsuburbanymca.org, Fax 617-321-2267 or mail to West Suburban YMCA, Attn: Camping Services Branch 276 Church Street, Newton, MA 02458 In addition to this completed form, the following must be submitted in order to complete your camper’s health record: Any missing pieces will delay processing. ☐ ☐ ☐ ☐ This health history form (including required signature on page 3) Copy of child’s most recent physical exam .

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