Health Screen – 16089

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By signing this form, I acknowledge that I may be contacted by the LL office. I understand that COVID-19 is deemed a reportable case, and any information related to COVID-19 will be relayed to the proper authorities. Once this form is submitted, I will be sent my certification card/s.

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Mailing Address: PO Box 1888, Cullowhee NC 28723

Telephone: (828) 293-5384

Email: main@landmarklearning.org

Office Hours: Mon-Fri, 8am - 5pm EST

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