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Choose the medical form you need to fill out:

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Child's name & birthdate

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Pick Up Form

Collect at the office

Use this form for your kids traveling to Israel/abroad

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$15.00

Standard New York State form used for schools

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$15.00

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$15.00

Use this form to claim your WIC benefits

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✓ FREE

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$15.00

Even if your camp has a different form, this one should suffice for it

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$15.00