ABCDEFGHIJKLMNOPQRSTUVWXYZ
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Youth Protection Program
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 Hygiene Schedule/Supervision
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Program Name: _______________________________________________
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Program Start Date: ____________ Program End Date: ____________
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Program Supervisor: _____________________________
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Hygiene schedule/supervision is to be conducted by age group and gender
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Date:
__________________
AM/PM
Hygiene supervisor (Female) : ___________________________
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Female
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Male) : ___________________________
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Male
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Female) : ___________________________
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Female
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Male) : ___________________________
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Male
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Female) : ___________________________
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Female
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Ages
_________to_________
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Time In__________
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Time Out__________
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Youth Protection Program
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 Hygiene Schedule/Supervision
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Date:
__________________
AM/PM
Hygiene supervisor (Male) : ___________________________
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Male
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Female) : ___________________________
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Female
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Male) : ___________________________
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Male
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Female) : ___________________________
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Female
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Male) : ___________________________
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Male
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Female) : ___________________________
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Female
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Ages
_________to_________
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Time In__________
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Time Out__________
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Date:
__________________
AM/PM
Hygiene supervisor (Male) : ___________________________
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Male
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Ages
_________to_________
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Time In__________
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Time Out__________
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