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Get Weighted-blanket-application - The Isaac Foundation

P. O. Box 19202 Spokane, WA 99219 Phone (509) 3251515 Fax (509) 3251516 www.theisaacfoundation.org Weighted Blanket / Lap Pad Application Childs Name: Childs DOB: Age: Gender: Male Female Parent/Guardians.

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