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Note: Failure to disclose relevant information or the provision of false information may result in termination of enrolment. Make sure all details on these forms are completed and the correct people have agreed to the enrolment conditions. Please read and understand the contracts before signing


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Name
Signature
Date

Whakatane High School

  
 
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ADD/ADHD Asthma Back/Neck problems Glandular Fever Migraines Diabetes Hepatitis A, B or C Depression/Anxiety Heart Condition Mobility Issues Tuberculosis Food Allergies Eating Difficulties Epilepsy Bee/Wasp Sting Allergy Metal Implants Any Mental Illness HIV or AIDS
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Please indicate the subjects you are interested in selecting. You can choose up to 6 subjects in your year level. These are only an indication for us and will be confirmed at orientation

 

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