%PDF-1.6 % 19 0 obj <> endobj xref 19 86 0000000016 00000 n 0000002391 00000 n 0000002501 00000 n 0000002801 00000 n 0000002832 00000 n 0000003101 00000 n 0000003336 00000 n 0000003528 00000 n 0000003751 00000 n 0000003977 00000 n 0000004198 00000 n 0000004436 00000 n 0000004722 00000 n 0000005285 00000 n 0000006113 00000 n 0000006939 00000 n 0000007049 00000 n 0000007621 00000 n 0000008140 00000 n 0000008657 00000 n 0000008763 00000 n 0000009002 00000 n 0000009221 00000 n 0000009443 00000 n 0000009667 00000 n 0000009858 00000 n 0000010081 00000 n 0000010289 00000 n 0000010513 00000 n 0000010715 00000 n 0000010938 00000 n 0000011243 00000 n 0000011536 00000 n 0000011794 00000 n 0000012081 00000 n 0000012385 00000 n 0000012678 00000 n 0000012925 00000 n 0000013218 00000 n 0000013524 00000 n 0000013811 00000 n 0000014058 00000 n 0000014345 00000 n 0000014649 00000 n 0000014936 00000 n 0000015183 00000 n 0000015470 00000 n 0000015671 00000 n 0000015895 00000 n 0000016147 00000 n 0000016371 00000 n 0000016577 00000 n 0000016801 00000 n 0000017058 00000 n 0000017279 00000 n 0000017507 00000 n 0000017733 00000 n 0000017960 00000 n 0000018184 00000 n 0000018405 00000 n 0000018628 00000 n 0000018859 00000 n 0000019074 00000 n 0000019279 00000 n 0000019500 00000 n 0000019709 00000 n 0000019933 00000 n 0000020089 00000 n 0000020242 00000 n 0000020712 00000 n 0000021220 00000 n 0000023931 00000 n 0000025106 00000 n 0000025175 00000 n 0000025247 00000 n 0000025327 00000 n 0000025410 00000 n 0000025488 00000 n 0000025557 00000 n 0000025629 00000 n 0000025706 00000 n 0000025920 00000 n 0000026135 00000 n 0000026356 00000 n 0000033874 00000 n 0000002016 00000 n trailer <<58C55AA60A027642831C3DCD594AD21E>]/Prev 222507>> startxref 0 %%EOF 104 0 obj <>stream hb``f`c Y8ph@ by^;<$U0hYDv80tH$2pt86nHlafr702H/8ZaxAR3DA~9d~!ל'{FM^8bv~?Ff[ t^H[3x,p8#eѨ=(KYO{1nWNF}gɹt<9W& (b#'@ N endstream endobj 20 0 obj <> endobj 21 0 obj <>/Font<>>>/Fields[29 0 R 39 0 R 41 0 R 25 0 R 27 0 R 43 0 R 45 0 R 47 0 R 49 0 R 1 0 R 53 0 R 2 0 R 57 0 R 61 0 R 65 0 R 67 0 R 69 0 R 71 0 R 73 0 R 75 0 R 77 0 R 79 0 R 81 0 R 83 0 R]>> endobj 22 0 obj <> endobj 23 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Type/Page>> endobj 24 0 obj [25 0 R 27 0 R 29 0 R 31 0 R 34 0 R 35 0 R 38 0 R 39 0 R 41 0 R 43 0 R 45 0 R 47 0 R 49 0 R 51 0 R 53 0 R 55 0 R 57 0 R 59 0 R 61 0 R 63 0 R 65 0 R 67 0 R 69 0 R 71 0 R 73 0 R 75 0 R 77 0 R 79 0 R 81 0 R 83 0 R 85 0 R] endobj 25 0 obj <>/DA(/Arial 9.5 Tf 0 g)/F 4/FT/Tx/Ff 2/MK<>/P 23 0 R/Rect[71.0004 573.703 301.25 593.578]/Subtype/Widget/T(Name of minor)/Type/Annot>> endobj 26 0 obj <>/Subtype/Form/Type/XObject>>stream 1 0.666656 0.75 RG 0.5 0.5 229.2496 18.875 re s endstream endobj 27 0 obj <>/AP<>/DA(/Arial 9.5 Tf 0 g)/F 4/FT/Tx/Ff 2/MK<>/MaxLen 2/P 23 0 R/Rect[323.796 573.749 390.921 593.624]/Subtype/Widget/T(Age)/Type/Annot>> endobj 28 0 obj <>/Subtype/Form/Type/XObject>>stream 1 0.666656 0.75 RG 0.5 0.5 66.125 18.875 re s endstream endobj 29 0 obj <>/DA(/Arial 9.5 Tf 0 g)/DV( )/F 4/FT/Ch/Ff 71434242/I[0]/MK<>/Opt[( )(Female)(Male)]/P 23 0 R/Rect[412.588 573.62 472.588 593.12]/Subtype/Widget/T(Sex)/Type/Annot/V( )>> endobj 30 0 obj <>/Subtype/Form/Type/XObject>>stream H$1 0C"'jN./ /PaRBtYqzjW{PqDiluƄ$| Q endstream endobj 31 0 obj <>/C[1.0 1.0 0.0]/Contents(mm/dd/yy format)/CreationDate(D:20120625115228-05'00')/F 28/M(D:20120625115320-05'00')/NM(c1f9712d-25c9-4cfa-b750-e8acbf296b59)/Name/Help/P 23 0 R/Popup 34 0 R/RC(
mm/dd/yy format
)/Rect[563.294 573.331 583.294 593.331]/Subj(Note)/Subtype/Text/T(ah)/Type/Annot>> endobj 32 0 obj <>/Subtype/Form/Type/XObject>>stream HLT!| ai"EJ6J'%5ixؽ'@+HZ5ߥU=O_ًWQĪFM'ctM.87]#bdL /فŪvˣF