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Amtryke Request Forms
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Request & Waiver - Filled out by Parent/Guardian/Adult Rider
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Request & Waiver - Spanish Version - Filled out by Parent /Guardian/Adult Rider
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Assessment - Filled out by Therapist
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Selection - Filled out by Therapist
* Request and waiver, Assessment and selection forms are all required for the Amtryke requests.
Veterans: Please use the Veteran Amtryke Request Forms instead.
Please complete and return the forms to amtrykes@ambucs-irvinglascolinas.org
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