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Hypersensitivity to Pesticides

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Hypersensitivity to Pesticides

The Louisiana Department of Agriculture requires schools to keep a registry of students with known pesticide hypersensitivities. If your child has a sensitivity to pesticides, please provide the following information as outlined below.

Student's Name*

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Please list the name(s) of the pesticide(s) to which the student named above has a known hypersensitivity.*

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Parent's Name*

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Signature*

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Confirmation Email

Confirmation Email *

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