Kick Count Form Page 2
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1
2Date
28th Week
29th Week
30th Week
31st Week
M
T
W
T
F
S
S
M
T
W
T
F
S
S
M
T
W
T
F
S
S
M
T
W
T
F
S
S
10 min
20
30
40
50
1 hour
2 hours
3 hours
Date
32nd Week
33rd Week
34th Week
35th Week
M
T
W
T
F
S
S
M
T
W
T
F
S
S
M
T
W
T
F
S
S
M
T
W
T
F
S
S
10 min
20
30
40
50
1 hour
2 hours
3 hours
Date
36th Week
37th Week
38th Week
39th Week
M
T
W
T
F
S
S
M
T
W
T
F
S
S
M
T
W
T
F
S
S
M
T
W
T
F
S
S
10 min
20
30
40
50
1 hour
2 hours
3 hours
Date
40th Week
41th Week
42th Week
43st Week
M
T
W
T
F
S
S
M
T
W
T
F
S
S
M
T
W
T
F
S
S
M
T
W
T
F
S
S
10 min
20
30
40
50
1 hour
2 hours
3 hours
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