INSTRUCTIONS 1. This form is to be completed in duplicate by each public and private school as required under Chapter 232.032, Florida Statutes. Schools having both kindergarten and seventh grade should complete a separate Form 684 for each grade, one for kindergarten and one for 7th grade. The original is to be completed and sent to the county health department no later than October 1. The copy should be retained at the school. 2. To complete form: Items 1 through 8, fill in identifying information. Item 9, enter the total number of children enrolled in kindergarten or seventh grade. C:kinder/684 11/96
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