ST. MARY'S CATHOLIC SCHOOL

 611 S.W "A"AVENUE                LAWTON, OKLAHOMA 73501             TEL. 580-355-5288

 saintmarysknights@juno.com                                                                                                www.stmaryslawtonok.com

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School Year 2007 - 2008

The  Oklahoma Department of Human Servicesrequires the school to have on file any and all allergies affecting your child. Human Services also requires that the school have a doctor’s note on file. Please fill out this form and return to the school along with the doctor’s note before August 31, 2007. 

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Student Name                                   PLEASE PRINT

Allergies_____________________________________________________________________________

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Parent/Guardian                               PLEASE PRINT

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Parent/Guardian Signature                                        Date