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department of athletics policies & procedures - UNC Wilmington ...

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___ Full Sport Participation – NO Restrictions<br />

___ Limited Sport Participation – Restrictions<br />

___ Other<br />

Counseling Session Notes (due to a positive test):<br />

F/U Appt. Date<br />

__________________<br />

Time<br />

Physician Signature<br />

Date___________________<br />

27

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