boy scout physical form
PERSONAL HEALTH AND MEDICAL RECORD FORM
Annually, this form is to be used by adults over 40 for all activities requiring a physical examination and applies to all Wood Badge participants/staff
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Form ST-119.2:9/11: Application for an Exempt Organization
Enter the organizations legal name (as it appears in its organizing documents), telephone number, physical address, and mailing address. Enter the name, title,
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Informed Consent, Release Agreement, and Authorization
I further authorize the sharing of the information on this form with any Exploring volunteers or professionals who need to know of medical conditions that may
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