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MBCA 2020-2021 Emergency Contact and Medical Consent Form

Registration Deadline 05/28/2021

Welcome! Please complete ALL items regarding each child's medical history, medical consent, medications, and emergency contact information for the 2020-2021 school year.

All information must be complete BEFORE the first day of school.

You may update information throughout the year, as necessary. Please also let the nurse team know that you have made changes by emailing

Emergency Contact and Medical Consent - July 13, 2020 to August 28, 2020
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