January 1

Youth Program Medical Form

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This information is required by Williston Northampton School to ensure your child’s safety. Even if you plan to stay overnight, it’s important that we create the safest environment possible for your child in case we can’t reach you. This information will be stored in a binder for the director of the Youth Program and the only two people to view it will be the program director for SWB (Julie Lyonn Lieberman) and the director for the Youth Program (Alissa Jackson).

Thank you for your understanding.


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