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1(1)
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Form
3680-13
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Age
6
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Weight
8-4
5(5)
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Form
1-11111
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Age
5
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Weight
8-11
8(8)
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Form
35336-1
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Age
4
-
Weight
8-11
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Form
547094-
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Age
7
-
Weight
8-11
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Form
23653/4-
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Age
6
-
Weight
8-11
-
Form
353213-
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Age
5
-
Weight
8-4
-
Form
82-6211
-
Age
9
-
Weight
8-11
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Form
75-1322
-
Age
8
-
Weight
8-4
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Form
60-3565
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Age
5
-
Weight
8-4