Emergency Contact Form For Daycare
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Web Special Conditions, Disabilities, Allergies, Or Medical Emergency Informa Tion _____ _____ Parent/Guardian Consent And Agreement As Parent/Guardian, I Consent To Have My Child Receive First Aid By Facility Staff And, If Necessary, Be Transported To Receive Emergency Care.
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August 4, 2017 by framestr categories: Web fillable and printable child care emergency contact form 2023. If your child has a medical condition which might require emergency medical care, complete the back side of the form. Father’s name/legal guardian name of child’s physician/medical care provider emergency contact person(s) person(s) to whom child may be released birth date home telephone number.
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