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Get Uga Health Form For Summer Camps And Programs 2018

For treatment at the University Health Center if the participant should become ill or injured while on campus. FAX to 706-542-4959 prior to camp/program. Please note, there will be charges for services provided by the University Health Center. NAME DATE OF BIRTH HOME STREET ADDRESS CITY, STATE, ZIP CODE GENDER Rec Sports Youth Camp PROGRAM PHONE (706)542-5060 PROGRAM CONTACT PERSON Michael Husted PHONE (706)542-5060 PERMISSION F.

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