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WA Health COVID-19 Vaccination Consent Form – Students ...
WA Health COVID-19 Vaccination Consent Form – Students Aged 12 Years and Over Shade Circles Completely Correct: Incorrect: Please print neatly in capital letters EXAMPLE 123 Black Ink Only Student consent: provide information as completely as you can: all information will be kept confidential 4 Date of birth (e.g. 05/08/1990) / / Telephone number
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