Drug Allergies of Student (if any)/ ๐๐ญ๐ฆ๐ณ๐จ๐ช ๐๐ฆ๐ฅ๐ช๐ด ๐๐ช๐ด๐ธ๐ข (๐ซ๐ช๐ฌ๐ข ๐ข๐ฅ๐ข) *
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Siblings studying at Universal School (Name and Class)(if any)
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COVID-19 Vaccination Status of Student (if applicable) / ๐๐ต๐ข๐ต๐ถ๐ด ๐๐ข๐ฌ๐ด๐ช๐ฏ๐ข๐ด๐ช ๐๐๐๐๐-19 ๐๐ช๐ด๐ธ๐ข (๐ซ๐ช๐ฌ๐ข ๐ข๐ฅ๐ข) *
Notes for Emergency Contact/๐๐ข๐ต๐ข๐ต๐ข๐ฏ ๐ถ๐ฏ๐ต๐ถ๐ฌ ๐๐ฐ๐ฏ๐ต๐ข๐ฌ ๐๐ข๐ณ๐ถ๐ณ๐ข๐ต (๐ซ๐ช๐ฌ๐ข ๐ข๐ฅ๐ข) *
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