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- Begin by entering your Member Number and Initial Visit date at the top of the form. This information is essential for record-keeping.
- In the Registration Paid section, indicate the amount paid and select your payment method (Cash, Check, or Credit Card). Ensure you enter the date of payment.
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- Complete the School Information section by providing your child's school name and address. Confirm that immunization records are on file.
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- Review all sections for accuracy before signing at the bottom of the form. Your signature confirms that you understand and agree to all policies outlined in this document.
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