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Medical Questionnaire

Please fill out the following form for each student being registered to help us understand any physical condition.

Has there been in any hospitalizations in the last 12 months?
Is your child currently suffering from a medical condition, illness, or injury?
Is your child taking any medications?

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Welcome to LJP!

INQUIRIES

WRITE OR CALL US IF YOU ANY QUESTIONS ABOUT MORE INFO, CLASSES, OR ENROLLMENT.
LJPDance1@gmail.com
612-521-1150

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