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Health and Liability Form

The Health and Liability form, in PDF format, is available for download at the bottom of this page. To download, click on the down arrow to the right of the file name.

Massachusetts health regulations require that all campers present documentation of a recent physical examination certifyng the camper is allowed to participate in strenuous physcial activity and is not a contagious threat to others.

Please mail, fax, or email the attached completed and signed form by June 14, 2013 to:

POSTAL MAIL
Bill Shipman
Gosman Sports Center MS 07
415 South Street
Brandeis University
Waltham, MA 02454
FAX:
(978) 736-3656
Attn: Bill Shipman
EMAIL:
Shipman@Brandeis.edu

New England Junior Fencing Camp complies with regulations of the Mass. Dept. of Public Health (105-CMR430.000)
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Taro Yamashita,
Feb 14, 2013, 12:43 PM