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Maternal Journal Sign Up
Please fill out this information to join Maternal journal, starting 21 February at Tieve Tara medical centre. Childcare is provided.
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Email
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Your email
First and Last Name
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Your answer
Contact Number
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Your answer
Any Medical conditions we should know about
?
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Your answer
Next of Kin information for you and your child(ren). please include names, relationship and contact info.
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Names and Ages of Children attending with you. If none input "none"
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Children's Medical information. e.g Conditions, allergies, medications.
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Any thing else you would like us to know? e.g. my child doesnt like wet wipes
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Send me a copy of my responses.
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