EBC Baby Care Sheet
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Parent Name *
Parent Phone Number *
Baby Name *
Baby Date of Birth *
MM
/
DD
/
YYYY
I can:
(check all that apply)
 *
Required
I can play in/with:
(check all that apply)
 *
Required
My nap time is:
Time
:
I nap on my, with my:
(check all that apply)
 *
Required
Feed me at:
Time
:
Feed me: *
I'm allergic to: *
Additional Information:
Submit
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