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To the school no later than October 15 of the year the child is first enrolled or as required by the school for other children. The examination must be completed within one year prior to the first day of the school year the child enters the Illinois school system for the first time. The parent of any child who is unable to obtain an examination must submit a waiver form to the school. Student Name: (Last) (First) Birth Date: (Middle Initial) Gender: (Mo.) (Day) Grade: (Yr.) Parent or Gu.

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