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Arthur Omnibus Affidavit
Arthur Omnibus Affidavit
MEDICAL CERTIFICATE
(COACHES, ASSISTANT COACHES, CHAPERONE)
__________________
(Date)
To Whom It May Concern:
This is to certify that I have personally examined JELLY L. BALIDO age 54 sex
Name
FEMALE and have found that he/she is physically fit unfit, during the time of
Event: TAEKWONDO
Physical Examination