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<p style="margin-bottom:150px;">I, ________________________________________________, request a waiver of requirements for the following immunization(s) and or CPR, and include a signed statement from my primary care provider if for medical reasons:</p> | <p style="margin-bottom:150px; max-width:70em !important;">I, ________________________________________________, request a waiver of requirements for the following immunization(s) and or CPR, and include a signed statement from my primary care provider if for medical reasons:</p> | ||
<p style="margin-bottom:150px;">for the following reason(s):</p> | <p style="margin-bottom:150px;">for the following reason(s):</p> | ||
<table style="max-width:70em !important;" width="100%" cellspacing="0" cellpadding="0" border="0"> | <table style="max-width:70em !important;" width="100%" cellspacing="0" cellpadding="0" border="0"> |