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Chimera Logo Willingboro High School         Chimera Logo

PLEASE NOTE ALL AREAS BELOW MUST BE COMPLETED BEFORE RETURNING TO THE GUIDANCE DEPARTMENT FOR SIGNATURE:

A.) MINOR'S PERSONAL INFORMATION

B.) EMPLOYMENT INFORMATION

C.) PHYSICIAN CERTIFICATION (DATE OF PHYSICAL, ADDRESS & SIGNATURE) MUST HAVE ADDRESS STAMPED

IF STUDENT DOES NOT ATTEND WILLINGBORO HIGH SCHOOL THE STUDENT ALSO MUST PROVIDE THE FOLLOWING:

1.) PROOF OF AGE (BIRTH CERTIFICATE IF STUDENT DOES NOT ATTEND WILLINGBORO HIGH SCHOOL)

2.) SCHOOL RECORD (SCHOOL NAME, ADDRESS & PRINCIPAL SIGNATURE IF STUDENT DOES NOT ATTEND WHS)