Child #1: Allergies to food, medications or other substances AND/OR other medical conditions we should be aware of, this will be printed on the child's name tag at check in. *
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Child #2 Name
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Child #2 DOB (xx/xx/xxxx)
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Child #2 Grade and School
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Child #2: Allergies to food, medications or other substances AND/OR other medical conditions we should be aware of, this will be printed on the child's name tag at check in.
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Emergency Contact Name: *
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Emergency Contact’s Relationship to child(ren) *
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Emergency Contact’s Phone number *
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Policy regarding Check-in/Check-out: At the end of service, parents can pick up their children as usual. Children over the age of 4 will not be required to be checked out through the system. *