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&lt;/a:ElementExtension&gt; &lt;a:ElementExtension&gt; &lt;a:ElementID&gt;Text183&lt;/a:ElementID&gt; &lt;a:ControlSource&gt;Fitch Sheet 1_Cellular Phone&lt;/a:ControlSource&gt; &lt;/a:ElementExtension&gt; &lt;a:ElementExtension&gt; &lt;a:ElementID&gt;Text185&lt;/a:ElementID&gt; &lt;a:ControlSource&gt;Fitch sheet 2_Cellular Phone&lt;/a:ControlSource&gt; &lt;/a:ElementExtension&gt; &lt;a:ElementExtension&gt; &lt;a:ElementID&gt;Text186&lt;/a:ElementID&gt; &lt;a:ControlSource&gt;Fitch Sheet 3_Cellular Phone&lt;/a:ControlSource&gt; &lt;/a:ElementExtension&gt; &lt;a:ElementExtension&gt; &lt;a:ElementID&gt;Text199&lt;/a:ElementID&gt; &lt;a:ControlSource&gt;Legal Name&lt;/a:ControlSource&gt; &lt;/a:ElementExtension&gt; &lt;a:ElementExtension&gt; &lt;a:ElementID&gt;Text201&lt;/a:ElementID&gt; &lt;a:ControlSource&gt;First Name&lt;/a:ControlSource&gt; &lt;/a:ElementExtension&gt; &lt;a:ElementExtension&gt; &lt;a:ElementID&gt;Fitch EMC 8142008NavLabel&lt;/a:ElementID&gt; &lt;a:RecordsetLabel&gt;Fitch EMC 8142008 |0 of |2;Fitch EMC 8142008 |0-|1 of |2&lt;/a:RecordsetLabel&gt; &lt;/a:ElementExtension&gt; &lt;a:GroupLevel&gt; &lt;a:RecordSource&gt;Fitch EMC 8142008&lt;/a:RecordSource&gt; &lt;a:DefaultSort&gt;&lt;/a:DefaultSort&gt; &lt;a:HeaderElementId&gt;HeaderFitch EMC 8142008&lt;/a:HeaderElementId&gt; &lt;a:FooterElementId&gt;&lt;/a:FooterElementId&gt; &lt;a:CaptionElementId&gt;CaptionFitch EMC 8142008&lt;/a:CaptionElementId&gt; &lt;a:RecordNavigationElementId&gt;NavigationFitch EMC 8142008&lt;/a:RecordNavigationElementId&gt; &lt;a:DataPageSize&gt;1&lt;/a:DataPageSize&gt; &lt;a:GroupFilterControl&gt;&lt;/a:GroupFilterControl&gt; &lt;a:RecordSelector/&gt; &lt;/a:GroupLevel&gt; &lt;a:Datamodel a:version=&quot;0816&quot;&gt; &lt;a:SchemaRowsource a:id=&quot;Fitch EMC 8142008&quot; a:type=&quot;dscView&quot;&gt; &lt;a:SchemaField a:id=&quot;Grade&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;First Name&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Legal Name&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Pupil Number&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Birth Date&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Apartment&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Custody&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Hrm1&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Living With&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Mailing Address&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Municipality&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Phone Number&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Street Number&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Street Name&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Zip Code&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Dentist&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Dentist Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Doctor&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Doctor Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Preferred Hospital&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 1.Business Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 1.Cellular Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 1.E-mail Address&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 1.Field8&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 1.Home Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 1.Last Name&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 1.Parent Type&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch sheet 2.Parent Type&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch sheet 2.Last Name&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch sheet 2.Home Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch sheet 2.Field8&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch sheet 2.E-mail Address&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch sheet 2.Cellular Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch sheet 2.Business Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 3.Parent Type&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 3.Last Name&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 3.Home Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 3.Field8&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 3.E-mail Address&quot; a:datatype=&quot;130&quot; a:size=&quot;255&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 3.Cellular Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;a:SchemaField a:id=&quot;Fitch Sheet 3.Business Phone&quot; a:datatype=&quot;130&quot; a:size=&quot;50&quot;/&gt; &lt;/a:SchemaRowsource&gt; &lt;a:RecordsetDef a:id=&quot;Fitch EMC 8142008&quot;&gt; &lt;a:PageField a:id=&quot;Grade&quot;/&gt; &lt;a:PageField a:id=&quot;First Name&quot;/&gt; &lt;a:PageField a:id=&quot;Legal Name&quot;/&gt; &lt;a:PageField a:id=&quot;Pupil Number&quot;/&gt; &lt;a:PageField a:id=&quot;Birth Date&quot;/&gt; &lt;a:PageField a:id=&quot;Apartment&quot;/&gt; &lt;a:PageField a:id=&quot;Custody&quot;/&gt; &lt;a:PageField a:id=&quot;Hrm1&quot;/&gt; &lt;a:PageField a:id=&quot;Living With&quot;/&gt; &lt;a:PageField a:id=&quot;Mailing Address&quot;/&gt; &lt;a:PageField a:id=&quot;Municipality&quot;/&gt; &lt;a:PageField a:id=&quot;Phone Number&quot;/&gt; &lt;a:PageField a:id=&quot;Street Number&quot;/&gt; &lt;a:PageField a:id=&quot;Street Name&quot;/&gt; &lt;a:PageField a:id=&quot;Zip Code&quot;/&gt; &lt;a:PageField a:id=&quot;Dentist&quot;/&gt; &lt;a:PageField a:id=&quot;Dentist Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Doctor&quot;/&gt; &lt;a:PageField a:id=&quot;Doctor Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Preferred Hospital&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 1_Business Phone&quot; a:source=&quot;Fitch Sheet 1.Business Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 1_Cellular Phone&quot; a:source=&quot;Fitch Sheet 1.Cellular Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 1_E-mail Address&quot; a:source=&quot;Fitch Sheet 1.E-mail Address&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 1_Field8&quot; a:source=&quot;Fitch Sheet 1.Field8&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 1_Home Phone&quot; a:source=&quot;Fitch Sheet 1.Home Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 1_Last Name&quot; a:source=&quot;Fitch Sheet 1.Last Name&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 1_Parent Type&quot; a:source=&quot;Fitch Sheet 1.Parent Type&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch sheet 2_Parent Type&quot; a:source=&quot;Fitch sheet 2.Parent Type&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch sheet 2_Last Name&quot; a:source=&quot;Fitch sheet 2.Last Name&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch sheet 2_Home Phone&quot; a:source=&quot;Fitch sheet 2.Home Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch sheet 2_Field8&quot; a:source=&quot;Fitch sheet 2.Field8&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch sheet 2_E-mail Address&quot; a:source=&quot;Fitch sheet 2.E-mail Address&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch sheet 2_Cellular Phone&quot; a:source=&quot;Fitch sheet 2.Cellular Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch sheet 2_Business Phone&quot; a:source=&quot;Fitch sheet 2.Business Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 3_Parent Type&quot; a:source=&quot;Fitch Sheet 3.Parent Type&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 3_Last Name&quot; a:source=&quot;Fitch Sheet 3.Last Name&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 3_Home Phone&quot; a:source=&quot;Fitch Sheet 3.Home Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 3_Field8&quot; a:source=&quot;Fitch Sheet 3.Field8&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 3_E-mail Address&quot; a:source=&quot;Fitch Sheet 3.E-mail Address&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 3_Cellular Phone&quot; a:source=&quot;Fitch Sheet 3.Cellular Phone&quot;/&gt; &lt;a:PageField a:id=&quot;Fitch Sheet 3_Business Phone&quot; a:source=&quot;Fitch Sheet 3.Business Phone&quot;/&gt; &lt;/a:RecordsetDef&gt; &lt;/a:Datamodel&gt; &lt;/a:DataSourceControl&gt; &lt;/xml&gt;"></object> <table width="95%" border="0" cellpadding="0" cellspacing="0" height="8"><tbody><tr><td width="15" bgcolor="#336699" height="25">&nbsp;</td><td width="500px" bgcolor="#666666"><font color="white" face="Tahoma" size="4"><b>&nbsp;Data Access Page Notification</b></font></td></tr><tr><td width="15" bgcolor="#cccccc">&nbsp;</td><td width="500px" bgcolor="#cccccc"><br><p><font face="Tahoma" size="2">This page requires Windows IE 5.0 or higher.</font></p><font face="Tahoma" size="2"><a href="http://www.microsoft.com/isapi/redir.dll?Prd=Office&amp;Sbp=Access&amp;Pver=10&amp;Ar=DPdesigner&amp;Sba=IEhome&amp;Plcid=1033"></a></font><p align="center"><font face="Tahoma" size="2"><a href="http://www.microsoft.com/isapi/redir.dll?Prd=Office&amp;Sbp=Access&amp;Pver=10&amp;Ar=DPdesigner&amp;Sba=IEhome&amp;Plcid=1033">Click here to install the latest version of Internet Explorer.</a></font></p><br></td></tr></tbody></table> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:LastAuthor>kfranz</o:LastAuthor> <o:Revision>1</o:Revision> <o:TotalTime>0</o:TotalTime> <o:LastSaved>2008-08-14T21:25:50Z</o:LastSaved> <o:Version>11.5606</o:Version> </o:DocumentProperties> <o:OfficeDocumentSettings> <o:DownloadComponents/> <o:LocationOfComponents HRef="file:///R:\"/> </o:OfficeDocumentSettings> </xml><![endif]--> <div class="Mso2dSectionBanner" id="CaptionFitch EMC 8142008Banner" style="width: 8.208in;" tabindex="-1"><span id="CaptionFitch EMC 8142008BannerCaption">Caption: Fitch EMC 8142008</span></div> <div class="Mso2dSection" id="CaptionFitch EMC 8142008" style="border-style: none; width: 8.208in; height: 0.697in; background-color: rgb(255, 255, 255);"><span class="MSTheme-Label Style0" id="Label112" style="padding: 1px; overflow: hidden; z-index: 1; left: 0.041in; width: 3.958in; position: absolute; top: 0.041in; height: 0.291in;" msotextalign="General">Emergency Medical Authorization</span><span class="MSTheme-Label Style1" id="Label113" style="padding: 1px; overflow: hidden; z-index: 2; left: 4.125in; width: 3.416in; position: absolute; top: 0.041in; height: 0.166in;" msotextalign="General">As mandated by House Bill 639</span><span class="MSTheme-Label Style1" id="Label114" style="padding: 1px; overflow: hidden; z-index: 3; left: 4.125in; width: 3.416in; position: absolute; top: 0.208in; height: 0.166in;" msotextalign="General">OLMSTED FALLS SCHOOLS</span><span class="MSTheme-Label Style1" id="Label115" style="padding: 1px; overflow: hidden; z-index: 4; left: 0.041in; width: 7.5in; position: absolute; top: 0.375in; height: 0.281in;" msotextalign="General">PURPOSE - to enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under school authority, when parents or guardians cannot be reached.</span></div> <div class="Mso2dSectionBanner" id="HeaderFitch EMC 8142008Banner" style="width: 8.208in;" tabindex="-1"><span id="HeaderFitch EMC 8142008BannerCaption">Header: Fitch EMC 8142008</span></div> <div class="Mso2dSection" id="HeaderFitch EMC 8142008" style="border-style: none none solid; border-bottom: 1px solid black; width: 8.208in; height: 9.583in; background-color: rgb(255, 255, 255);"><textarea class="MsoTextbox Style2" id="Student First Name" style="padding: 1px; overflow: hidden; z-index: 2; left: 2.5in; width: 2.208in; position: absolute; top: 0.166in; height: 0.208in;" tabindex="0" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Student First Name_Label" style="padding: 1px; overflow: hidden; z-index: 1; left: 2.5in; width: 2.208in; position: absolute; top: 0in; height: 0.166in;" msotextalign="General">Student First Name</span><textarea class="MsoTextbox Style2" id="Mom Last Name" style="padding: 1px; overflow: hidden; z-index: 4; left: 0.041in; width: 1.416in; position: absolute; top: 1.791in; height: 0.197in;" tabindex="1" msotextalign="General"></textarea><span class="MSTheme-Label Style4" id="Mom Last Name_Label" style="padding: 1px; overflow: hidden; z-index: 3; left: 0.041in; width: 1.416in; position: absolute; top: 1.625in; height: 0.166in;" msotextalign="General">Parent/Guardian #1</span><textarea class="MsoTextbox Style2" id="Mom First Name" style="padding: 1px; overflow: hidden; z-index: 5; left: 1.5in; width: 1in; position: absolute; top: 1.791in; height: 0.208in;" tabindex="2" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Mom Work" style="padding: 1px; overflow: hidden; z-index: 7; left: 0.041in; width: 0.833in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="3" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Mom Work_Label" style="padding: 1px; overflow: hidden; z-index: 6; left: 0.041in; width: 0.833in; position: absolute; top: 2.916in; height: 0.166in;" msotextalign="General">Wk Phone #</span><textarea class="MsoTextbox Style2" id="Mom Home" style="padding: 1px; overflow: hidden; z-index: 9; left: 1.625in; width: 0.833in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="4" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Mom Home_Label" style="padding: 1px; overflow: hidden; z-index: 8; left: 1.625in; width: 0.833in; position: absolute; top: 2.916in; height: 0.177in;" msotextalign="General">Hm Phone #</span><textarea class="MsoTextbox Style2" id="Dad Last Name" style="padding: 1px; overflow: hidden; z-index: 10; left: 2.583in; width: 1.541in; position: absolute; top: 1.791in; height: 0.208in;" tabindex="5" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Dad First Name" style="padding: 1px; overflow: hidden; z-index: 11; left: 4.125in; width: 1in; position: absolute; top: 1.791in; height: 0.208in;" tabindex="6" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Dad Work" style="padding: 1px; overflow: hidden; z-index: 13; left: 2.583in; width: 0.875in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="7" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Dad Work_Label" style="padding: 1px; overflow: hidden; z-index: 12; left: 2.583in; width: 0.875in; position: absolute; top: 2.916in; height: 0.166in;" msotextalign="General">Wk Phone #</span><textarea class="MsoTextbox Style2" id="Dad Home" style="padding: 1px; overflow: hidden; z-index: 15; left: 4.291in; width: 0.833in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="8" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Dad Home_Label" style="padding: 1px; overflow: hidden; z-index: 14; left: 4.291in; width: 0.833in; position: absolute; top: 2.916in; height: 0.166in;" msotextalign="General">Hm Phone #</span><textarea class="MsoTextbox Style2" id="Grade" style="padding: 1px; overflow: hidden; z-index: 17; left: 5.666in; width: 0.458in; position: absolute; top: 0.166in; height: 0.208in;" tabindex="9" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Grade_Label" style="padding: 1px; overflow: hidden; z-index: 16; left: 5.666in; width: 0.458in; position: absolute; top: 0in; height: 0.166in;" msotextalign="General">Grade</span><textarea class="MsoTextbox Style2" id="Birth Date" style="padding: 1px; overflow: hidden; z-index: 19; left: 4.791in; width: 0.791in; position: absolute; top: 0.166in; height: 0.208in;" tabindex="10" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Birth Date_Label" style="padding: 1px; overflow: hidden; z-index: 18; left: 4.791in; width: 0.791in; position: absolute; top: 0in; height: 0.166in;" msotextalign="General">Birth Date</span><textarea class="MsoTextbox Style2" id="Apartment" style="padding: 1px; overflow: hidden; z-index: 21; left: 4.375in; width: 0.916in; position: absolute; top: 0.666in; height: 0.177in;" tabindex="11" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Apartment_Label" style="padding: 1px; overflow: hidden; z-index: 20; left: 4.375in; width: 0.916in; position: absolute; top: 0.5in; height: 0.166in;" msotextalign="General">Apartment</span><textarea class="MsoTextbox Style2" id="Custody" style="padding: 1px; overflow: hidden; z-index: 22; left: 1.333in; width: 1.875in; position: absolute; top: 1.416in; height: 0.187in;" tabindex="12" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Hrm1" style="padding: 1px; overflow: hidden; z-index: 24; left: 6.208in; width: 0.375in; position: absolute; top: 0.166in; height: 0.208in;" tabindex="13" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Hrm1_Label" style="padding: 1px; overflow: hidden; z-index: 23; left: 6.208in; width: 0.375in; position: absolute; top: 0in; height: 0.166in;" msotextalign="General">HRM</span><textarea class="MsoTextbox Style2" id="Living With" style="padding: 1px; overflow: hidden; z-index: 25; left: 4.458in; width: 1.833in; position: absolute; top: 1.416in; height: 0.208in;" tabindex="14" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Mailing Address" style="padding: 1px; overflow: hidden; z-index: 27; left: 0.041in; width: 7.75in; position: absolute; top: 1in; height: 0.166in;" tabindex="15" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Mailing Address_Label" style="padding: 1px; overflow: hidden; z-index: 26; left: 0.041in; width: 7.75in; position: absolute; top: 0.833in; height: 0.166in;" msotextalign="General">Mailing Address</span><textarea class="MsoTextbox Style2" id="Municipality" style="padding: 1px; overflow: hidden; z-index: 29; left: 5.375in; width: 1.458in; position: absolute; top: 0.666in; height: 0.187in;" tabindex="16" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Municipality_Label" style="padding: 1px; overflow: hidden; z-index: 28; left: 5.375in; width: 1.458in; position: absolute; top: 0.5in; height: 0.166in;" msotextalign="General">Municipality</span><textarea class="MsoTextbox Style5" id="Phone Number" style="padding: 1px; overflow: hidden; z-index: 31; left: 6.697in; width: 1.104in; position: absolute; top: 0.156in; height: 0.229in;" tabindex="17" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Phone Number_Label" style="padding: 1px; overflow: hidden; z-index: 30; left: 6.708in; width: 1.083in; position: absolute; top: 0in; height: 0.166in;" msotextalign="General">Phone Number</span><textarea class="MsoTextbox Style2" id="Street Name" style="padding: 1px; overflow: hidden; z-index: 32; left: 1in; width: 3.208in; position: absolute; top: 0.666in; height: 0.166in;" tabindex="18" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Street Number" style="padding: 1px; overflow: hidden; z-index: 34; left: 0.041in; width: 0.916in; position: absolute; top: 0.666in; height: 0.166in;" tabindex="19" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Street Number_Label" style="padding: 1px; overflow: hidden; z-index: 33; left: 0.041in; width: 4.166in; position: absolute; top: 0.5in; height: 0.166in;" msotextalign="General">Street Address</span><textarea class="MsoTextbox Style5" id="Zip Code" style="padding: 1px; overflow: hidden; z-index: 36; left: 6.947in; width: 0.854in; position: absolute; top: 0.656in; height: 0.229in;" tabindex="20" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Zip Code_Label" style="padding: 1px; overflow: hidden; z-index: 35; left: 6.958in; width: 0.833in; position: absolute; top: 0.5in; height: 0.166in;" msotextalign="General">Zip Code</span><textarea class="MsoTextbox Style2" id="Dentist" style="padding: 1px; overflow: hidden; z-index: 37; left: 0.708in; width: 5.125in; position: absolute; top: 5.583in; height: 0.208in;" tabindex="21" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Dentist Phone" style="padding: 1px; overflow: hidden; z-index: 38; left: 6.541in; width: 1.291in; position: absolute; top: 5.583in; height: 0.208in;" tabindex="22" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Doctor" style="padding: 1px; overflow: hidden; z-index: 39; left: 0.708in; width: 5.125in; position: absolute; top: 5.333in; height: 0.208in;" tabindex="23" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Doctor Phone" style="padding: 1px; overflow: hidden; z-index: 40; left: 6.541in; width: 1.291in; position: absolute; top: 5.333in; height: 0.208in;" tabindex="24" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Preferred Hospital" style="padding: 1px; overflow: hidden; z-index: 41; left: 1.458in; width: 4.375in; position: absolute; top: 5.791in; height: 0.208in;" tabindex="25" msotextalign="General"></textarea><span class="MSTheme-Label Style6" id="Label64" style="padding: 1px; overflow: hidden; z-index: 42; left: 2.125in; width: 3.333in; position: absolute; top: 1.166in; height: 0.25in;">Parent/Guardian Information</span><span class="MSTheme-Label Style4" id="Label65" style="padding: 1px; overflow: hidden; z-index: 43; left: 2.583in; width: 1.583in; position: absolute; top: 1.625in; height: 0.166in;" msotextalign="General">Parent/Guardian #2</span><span class="MSTheme-Label Style7" id="Label66" style="padding: 1px; overflow: hidden; z-index: 44; left: 0.041in; width: 2.416in; position: absolute; top: 2in; height: 0.208in;" msotextalign="General">Relationship:_________________________</span><span class="MSTheme-Label Style7" id="Label67" style="padding: 1px; overflow: hidden; z-index: 45; left: 2.583in; width: 2.541in; position: absolute; top: 2in; height: 0.208in;" msotextalign="General">Relationship:_________________________</span><span class="MSTheme-Label Style6" id="Label68" style="padding: 1px; overflow: hidden; z-index: 46; left: 1.875in; width: 3.666in; position: absolute; top: 3.583in; height: 0.208in;">Friend, Relative, or Childcare Provider</span><span class="MSTheme-Label Style7" id="Label69" style="padding: 1px; overflow: hidden; z-index: 47; left: 0in; width: 7.75in; position: absolute; top: 4.041in; height: 0.166in;" msotextalign="General">Address:___________________________________________ Daytime Phone: ( ) Other: ( )</span><span class="MSTheme-Label Style7" id="Label70" style="padding: 1px; overflow: hidden; z-index: 48; left: 0in; width: 7.75in; position: absolute; top: 3.833in; height: 0.166in;" msotextalign="General">#1 Name:___________________________________________________________ Relationship:__________________________________________</span><span class="MSTheme-Label Style8" id="Label71" style="padding: 1px; overflow: hidden; z-index: 49; left: 1.458in; width: 4.708in; position: absolute; top: 4.708in; height: 0.166in;" msotextalign="General">*If any of the above information changes during the school year, please inform the office.*</span><span class="MSTheme-Label Style9" id="Label75" style="padding: 1px; overflow: hidden; z-index: 50; left: 2.208in; width: 3.25in; position: absolute; top: 4.875in; height: 0.166in;">PART I OR II MUST BE COMPLETED</span><span class="MSTheme-Label Style10" id="Label76" style="padding: 1px; overflow: hidden; z-index: 51; left: 2.458in; width: 2.708in; position: absolute; top: 5.041in; height: 0.208in;" msotextalign="General">PART I - TO GRANT CONSENT</span><span class="MsoRectangle Style11" id="Box78" style="z-index: 52; left: 6.541in; width: 1.291in; position: absolute; top: 5.791in; height: 0.208in;"></span><span class="MSTheme-Label Style1" id="Label82" style="padding: 1px; overflow: hidden; z-index: 53; left: 0in; width: 7.833in; position: absolute; top: 6in; height: 0.625in;" msotextalign="General"> In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by above-named doctor, or, in the event the designated preferred physician is not available, by other licensed physician or dentist; and (2), the transfer of the child to any hospital reasonably accessible. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery. </span><span class="MSTheme-Label Style12" id="Label83" style="padding: 1px; overflow: hidden; z-index: 54; left: 0.041in; width: 2.51in; position: absolute; top: 7.625in; height: 0.166in;" msotextalign="General">Date:___________________________________</span><span class="MSTheme-Label Style10" id="Label96" style="padding: 1px; overflow: hidden; z-index: 55; left: 2.333in; width: 3in; position: absolute; top: 7.958in; height: 0.208in;" msotextalign="General">PART II - REFUSAL TO CONSENT</span><span class="MSTheme-Label Style13" id="Label97" style="padding: 1px; overflow: hidden; z-index: 56; left: 2.458in; width: 2.583in; position: absolute; top: 8.166in; height: 0.166in;" msotextalign="General">(Do not complete if you completed Part I)</span><span class="MSTheme-Label Style1" id="Label98" style="padding: 1px; overflow: hidden; z-index: 57; left: 0.041in; width: 7.541in; position: absolute; top: 8.333in; height: 0.291in;" msotextalign="General">I do not give my consent for emergency medical treatment of my child. In the event of illness or injury requiring emergency treatment, I wish the authorities to take the following action:</span><span class="MSTheme-Label Style7" id="Label99" style="padding: 1px; overflow: hidden; z-index: 58; left: 0.041in; width: 7.541in; position: absolute; top: 8.625in; height: 0.416in;" msotextalign="General">_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________</span><span class="MSTheme-Label Style12" id="Label100" style="padding: 1px; overflow: hidden; z-index: 59; left: 0.041in; width: 2.51in; position: absolute; top: 9.333in; height: 0.166in;" msotextalign="General">Date:___________________________________</span><span class="MSTheme-Label Style15" id="Label124" style="padding: 1px; overflow: hidden; z-index: 61; left: 0.458in; width: 6.875in; position: absolute; top: 6.916in; height: 0.458in;" msotextalign="General">__________________________________________________________________________________________________________________________________________________________________________________________</span><textarea class="MsoTextbox Style2" id="Text130" style="padding: 1px; overflow: hidden; z-index: 62; left: 1.041in; width: 1.458in; position: absolute; top: 0.166in; height: 0.208in;" tabindex="26" msotextalign="General"></textarea><span class="MSTheme-Label Style7" id="Label132" style="padding: 1px; overflow: hidden; z-index: 63; left: 1.041in; width: 1.458in; position: absolute; top: 0in; height: 0.166in;" msotextalign="General">Student Last Name</span><span class="MSTheme-Label Style7" id="Label133" style="padding: 1px; overflow: hidden; z-index: 64; left: 0.041in; width: 0.916in; position: absolute; top: 0in; height: 0.166in;" msotextalign="General">Student ID</span><textarea class="MsoTextbox Style2" id="Text134" style="padding: 1px; overflow: hidden; z-index: 66; left: 0.041in; width: 0.916in; position: absolute; top: 0.166in; height: 0.208in;" tabindex="27" msotextalign="General"></textarea><span class="MSTheme-Label Style1" id="Label135" style="padding: 1px; overflow: hidden; z-index: 65; left: 0in; width: 0.489in; position: absolute; top: 0.166in; height: 0.166in;" msotextalign="General">Text134:</span><span class="MSTheme-Label Style16" id="Label138" style="padding: 1px; overflow: hidden; z-index: 67; left: 0.041in; width: 2.416in; position: absolute; top: 2.208in; height: 0.333in;" msotextalign="General">Address (if different from student):_________________________</span><span class="MSTheme-Label Style16" id="Label139" style="padding: 1px; overflow: hidden; z-index: 68; left: 2.583in; width: 2.541in; position: absolute; top: 2.208in; height: 0.333in;" msotextalign="General">Address (if different from student):___________________________</span> <hr class="Style17" id="Line142" style="z-index: 69; left: 2.583in; width: 1px; position: absolute; top: 1.75in; height: 0.166in;"> <span class="MSTheme-Label Style4" id="Label144" style="padding: 1px; overflow: hidden; z-index: 70; left: 5.333in; width: 1.583in; position: absolute; top: 1.625in; height: 0.166in;" msotextalign="General">Parent/Guardian #3</span><textarea class="MsoTextbox Style2" id="Text145" style="padding: 1px; overflow: hidden; z-index: 71; left: 5.333in; width: 1.5in; position: absolute; top: 1.791in; height: 0.208in;" tabindex="28" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Text147" style="padding: 1px; overflow: hidden; z-index: 72; left: 6.833in; width: 1in; position: absolute; top: 1.791in; height: 0.208in;" tabindex="29" msotextalign="General"></textarea><span class="MSTheme-Label Style7" id="Label149" style="padding: 1px; overflow: hidden; z-index: 73; left: 5.333in; width: 2.5in; position: absolute; top: 2in; height: 0.208in;" msotextalign="General">Relationship:__________________________</span><span class="MSTheme-Label Style16" id="Label150" style="padding: 1px; overflow: hidden; z-index: 74; left: 5.333in; width: 2.5in; position: absolute; top: 2.208in; height: 0.333in;" msotextalign="General">Address (if different from student):__________________________</span><span class="MSTheme-Label Style3" id="Label151" style="padding: 1px; overflow: hidden; z-index: 75; left: 5.333in; width: 0.833in; position: absolute; top: 2.916in; height: 0.166in;" msotextalign="General">Wk Phone #</span><span class="MSTheme-Label Style3" id="Label152" style="padding: 1px; overflow: hidden; z-index: 76; left: 6.958in; width: 0.833in; position: absolute; top: 2.916in; height: 0.166in;" msotextalign="General">Hm Phone #</span><textarea class="MsoTextbox Style2" id="Text153" style="padding: 1px; overflow: hidden; z-index: 77; left: 5.333in; width: 0.833in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="30" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Text155" style="padding: 1px; overflow: hidden; z-index: 78; left: 6.958in; width: 0.875in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="31" msotextalign="General"></textarea><span class="MSTheme-Label Style7" id="Label157" style="padding: 1px; overflow: hidden; z-index: 79; left: 0.041in; width: 0.5in; position: absolute; top: 3.333in; height: 0.166in;" msotextalign="General">E-Mail:</span><span class="MSTheme-Label Style7" id="Label158" style="padding: 1px; overflow: hidden; z-index: 80; left: 2.583in; width: 0.5in; position: absolute; top: 3.333in; height: 0.166in;" msotextalign="General">E-Mail:</span><span class="MSTheme-Label Style7" id="Label159" style="padding: 1px; overflow: hidden; z-index: 81; left: 5.333in; width: 0.5in; position: absolute; top: 3.333in; height: 0.166in;" msotextalign="General">E-Mail:</span><textarea class="MsoTextbox Style2" id="Text160" style="padding: 1px; overflow: hidden; z-index: 82; left: 0.541in; width: 1.916in; position: absolute; top: 3.333in; height: 0.166in;" tabindex="32" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Text162" style="padding: 1px; overflow: hidden; z-index: 83; left: 3.083in; width: 2.041in; position: absolute; top: 3.333in; height: 0.166in;" tabindex="33" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Text164" style="padding: 1px; overflow: hidden; z-index: 84; left: 5.833in; width: 2in; position: absolute; top: 3.333in; height: 0.166in;" tabindex="34" msotextalign="General"></textarea><span class="MSTheme-Label Style7" id="Label166" style="padding: 1px; overflow: hidden; z-index: 85; left: 0in; width: 7.791in; position: absolute; top: 4.541in; height: 0.166in;" msotextalign="General">Address:__________________________________________ Daytime Phone: ( ) Other: ( )</span><span class="MSTheme-Label Style7" id="Label167" style="padding: 1px; overflow: hidden; z-index: 86; left: 0in; width: 7.791in; position: absolute; top: 4.375in; height: 0.166in;" msotextalign="General">#2 Name:___________________________________________________________ Relationship:__________________________________________</span> <hr class="Style18" id="Line171" style="z-index: 87; left: 0.041in; width: 7.958in; position: absolute; top: 1.166in; height: 2pt;"> <hr class="Style18" id="Line173" style="z-index: 88; left: 0in; width: 7.958in; position: absolute; top: 3.541in; height: 2pt;"> <hr class="Style18" id="Line176" style="z-index: 89; left: 0.041in; width: 8in; position: absolute; top: 4.875in; height: 2pt;"> <hr class="Style18" id="Line178" style="z-index: 90; left: 0in; width: 7.958in; position: absolute; top: 7.958in; height: 2pt;"> <hr class="Style17" id="Line179" style="z-index: 91; left: 4.791in; width: 1.25in; position: absolute; top: 4.208in; height: 1px;"> <hr class="Style17" id="Line180" style="z-index: 92; left: 6.5in; width: 1.166in; position: absolute; top: 4.208in; height: 1px;"> <span class="MSTheme-Label Style3" id="Label182" style="padding: 1px; overflow: hidden; z-index: 93; left: 0.875in; width: 0.75in; position: absolute; top: 2.916in; height: 0.166in;" msotextalign="General">Cell Phn #</span><textarea class="MsoTextbox Style2" id="Text183" style="padding: 1px; overflow: hidden; z-index: 94; left: 0.875in; width: 0.75in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="35" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Text185" style="padding: 1px; overflow: hidden; z-index: 95; left: 3.458in; width: 0.833in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="36" msotextalign="General"></textarea><textarea class="MsoTextbox Style2" id="Text186" style="padding: 1px; overflow: hidden; z-index: 96; left: 6.166in; width: 0.791in; position: absolute; top: 3.083in; height: 0.208in;" tabindex="37" msotextalign="General"></textarea><span class="MSTheme-Label Style3" id="Label187" style="padding: 1px; overflow: hidden; z-index: 97; left: 3.458in; width: 0.833in; position: absolute; top: 2.916in; height: 0.166in;" msotextalign="General">Cell Phn #</span><span class="MSTheme-Label Style3" id="Label188" style="padding: 1px; overflow: hidden; z-index: 98; left: 6.166in; width: 0.833in; position: absolute; top: 2.916in; height: 0.166in;" msotextalign="General">Cell Phn #</span><textarea class="MsoTextbox Style19" id="Text199" style="padding: 1px; overflow: hidden; z-index: 99; left: 7.833in; width: 0.333in; position: absolute; top: 0.041in; height: 1.416in;" tabindex="38" msotextalign="General"></textarea><textarea class="MsoTextbox Style19" id="Text201" style="padding: 1px; overflow: hidden; z-index: 100; left: 7.833in; width: 0.333in; position: absolute; top: 1.458in; height: 1.666in;" tabindex="39" msotextalign="General"></textarea><span class="MSTheme-Label Style4" id="Label203" style="padding: 1px; overflow: hidden; z-index: 101; left: 0.041in; width: 0.583in; position: absolute; top: 5.333in; height: 0.177in;" msotextalign="General">Doctor:</span><span class="MSTheme-Label Style4" id="Label204" style="padding: 1px; overflow: hidden; z-index: 102; left: 0.041in; width: 0.604in; position: absolute; top: 5.583in; height: 0.177in;" msotextalign="General">Dentist:</span><span class="MSTheme-Label Style4" id="Label205" style="padding: 1px; overflow: hidden; z-index: 103; left: 0.041in; width: 1.427in; position: absolute; top: 5.791in; height: 0.177in;" msotextalign="General">Preferred Hospital:</span><span class="MSTheme-Label Style4" id="Label208" style="padding: 1px; overflow: hidden; z-index: 104; left: 5.958in; width: 0.583in; position: absolute; top: 5.333in; height: 0.218in;" msotextalign="General">Phone:</span><span class="MSTheme-Label Style4" id="Label209" style="padding: 1px; overflow: hidden; z-index: 105; left: 5.958in; width: 0.583in; position: absolute; top: 5.583in; height: 0.177in;" msotextalign="General">Phone:</span><span class="MSTheme-Label Style4" id="Label210" style="padding: 1px; overflow: hidden; z-index: 106; left: 5.958in; width: 0.583in; position: absolute; top: 5.791in; height: 0.218in;" msotextalign="General">Phone:</span><span class="MSTheme-Label Style7" id="Label211" style="padding: 1px; overflow: hidden; z-index: 107; left: 3.666in; width: 0.791in; position: absolute; top: 1.416in; height: 0.208in;" msotextalign="General">Living With:</span><span class="MSTheme-Label Style7" id="Label212" style="padding: 1px; overflow: hidden; z-index: 108; left: 0.75in; width: 0.583in; position: absolute; top: 1.416in; height: 0.208in;" msotextalign="General">Custody:</span><span class="MSTheme-Label Style7" id="Label213" style="padding: 1px; overflow: hidden; z-index: 109; left: 0.041in; width: 2.416in; position: absolute; top: 2.541in; height: 0.333in;" msotextalign="General">________________________________________________________________</span><span class="MSTheme-Label Style7" id="Label214" style="padding: 1px; overflow: hidden; z-index: 110; left: 2.583in; width: 2.541in; position: absolute; top: 2.541in; height: 0.333in;" msotextalign="General">____________________________________________________________________</span><span class="MSTheme-Label Style7" id="Label215" style="padding: 1px; overflow: hidden; z-index: 111; left: 5.333in; width: 2.5in; position: absolute; top: 2.541in; height: 0.333in;" msotextalign="General">__________________________________________________________________</span><span class="MSTheme-Label Style20" id="Label217" style="padding: 1px; overflow: hidden; z-index: 112; left: 0.458in; width: 6.875in; position: absolute; top: 6.583in; height: 0.333in;" msotextalign="General">Please list in the space below facts concerning the child's medical history including allergies, medications being taken, and any physical impairments to which a physician or hospital personnel should be alerted:</span> <hr class="Style17" id="Line218" style="z-index: 113; left: 0.458in; width: 1px; position: absolute; top: 6.583in; height: 0.333in;"> <hr class="Style17" id="Line219" style="z-index: 114; left: 0.458in; width: 6.875in; position: absolute; top: 6.583in; height: 1px;"> <hr class="Style17" id="Line220" style="z-index: 115; left: 7.333in; width: 1px; position: absolute; top: 6.583in; height: 0.791in;"> <hr class="Style17" id="Line221" style="z-index: 116; left: 4.75in; width: 1.166in; position: absolute; top: 4.708in; height: 1px;"> <hr class="Style17" id="Line222" style="z-index: 117; left: 6.458in; width: 1.208in; position: absolute; top: 4.708in; height: 1px;"> <span class="MSTheme-Label Style12" id="Label223" style="padding: 1px; overflow: hidden; z-index: 118; left: 3in; width: 2in; position: absolute; top: 7.541in; height: 0.166in;" msotextalign="General">Signature of Parent/Guardian:</span> <hr class="Style17" id="Line224" style="z-index: 119; left: 5in; width: 2.875in; position: absolute; top: 7.708in; height: 1px;"> <span class="MSTheme-Label Style12" id="Label225" style="padding: 1px; overflow: hidden; z-index: 120; left: 3in; width: 0.5in; position: absolute; top: 7.708in; height: 0.208in;" msotextalign="General">Address:</span> <hr class="Style17" id="Line226" style="z-index: 121; left: 3.5in; width: 4.375in; position: absolute; top: 7.916in; height: 1px;"> <span class="MSTheme-Label Style12" id="Label227" style="padding: 1px; overflow: hidden; z-index: 122; left: 3in; width: 2in; position: absolute; top: 9.125in; height: 0.166in;" msotextalign="General">Signature of Parent/Guardian:</span><span class="MSTheme-Label Style12" id="Label228" style="padding: 1px; overflow: hidden; z-index: 123; left: 3in; width: 0.5in; position: absolute; top: 9.291in; height: 0.208in;" msotextalign="General">Address:</span> <hr class="Style17" id="Line229" style="z-index: 124; left: 5in; width: 2.875in; position: absolute; top: 9.291in; height: 1px;"> <hr class="Style17" id="Line230" style="z-index: 125; left: 3.5in; width: 4.375in; position: absolute; top: 9.5in; height: 1px;"> </div> <div class="Mso2dSectionBanner" id="NavigationFitch EMC 8142008Banner" style="width: 8.208in;" tabindex="-1"><span id="NavigationFitch EMC 8142008BannerCaption">Navigation: Fitch EMC 8142008</span></div> <div class="Mso2dSection" id="NavigationFitch EMC 8142008" style="width: 8.208in; position: relative; height: 0.65in;"> <table class="MsoNavContainer" id="Fitch EMC 8142008Navigation" style="left: 4px; width: 8.166in; position: absolute; top: 4px;" cellpadding="0" cellspacing="0"> <tbody> <tr> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavFirst" id="Fitch EMC 8142008NavFirst" tabindex="1" src="owc://GIF/#11200" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavPrevious" id="Fitch EMC 8142008NavPrevious" tabindex="2" src="owc://GIF/#11202" width="20" height="20"></td> <td style="vertical-align: middle; width: 100%; text-align: center;" nowrap="nowrap"><span class="MsoNavRecordsetLabel" id="Fitch EMC 8142008NavLabel" style="visibility: hidden;">Fitch EMC 8142008 |0-|1 of |2</span></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavNext" id="Fitch EMC 8142008NavNext" tabindex="4" src="owc://GIF/#11204" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavLast" id="Fitch EMC 8142008NavLast" tabindex="5" src="owc://GIF/#11206" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavAddNew" id="Fitch EMC 8142008NavNew" tabindex="6" src="owc://GIF/#11208" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavDelete" id="Fitch EMC 8142008NavDelete" tabindex="7" src="owc://GIF/#11210" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavSave" id="Fitch EMC 8142008NavSave" tabindex="8" src="owc://GIF/#11214" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavUndo" id="Fitch EMC 8142008NavUndo" tabindex="9" src="owc://GIF/#11212" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavSortAsc" id="Fitch EMC 8142008NavSortAscending" tabindex="10" src="owc://GIF/#11216" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavSortDesc" id="Fitch EMC 8142008NavSortDescending" tabindex="11" src="owc://GIF/#11218" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavFilter" id="Fitch EMC 8142008NavFilterBySelection" tabindex="12" src="owc://GIF/#11220" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavToggleFilter" id="Fitch EMC 8142008NavFilterToggle" tabindex="13" src="owc://GIF/#11222" width="20" height="20"></td> <td class="MsoNavButton" style="width: 20px; height: 20px;"><img class="MsoNavHelp" id="Fitch EMC 8142008NavHelp" tabindex="14" src="owc://GIF/#11224" width="20" height="20"></td></tr></tbody></table></div></body></html>