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  • Good To Know

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    Missy Monsivais
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    This document is a form from Imagination Time LLC collecting information about a child such as their name, favorite colors, foods, toys and pets. It asks for details on the child's interests, social information, special needs, medical conditions or physical problems. Space is provided for parents to give instructions for anything medical mentioned and requires the parent/guardian's signature.

    Original Description:

    Pertinent social and health information

    Original Title

    Good to Know

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    This document is a form from Imagination Time LLC collecting information about a child such as their name, favorite colors, foods, toys and pets. It asks for details on the child's interests, social information, special needs, medical conditions or physical problems. Space is provided for parents to give instructions for anything medical mentioned and requires the parent/guardian's signature.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    235 views1 page

    Good To Know

    Uploaded by

    Missy Monsivais
    This document is a form from Imagination Time LLC collecting information about a child such as their name, favorite colors, foods, toys and pets. It asks for details on the child's interests, social information, special needs, medical conditions or physical problems. Space is provided for parents to give instructions for anything medical mentioned and requires the parent/guardian's signature.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Good to Know

    Imagination Time LLC


    Missy Monsivais
    322 North 3335 West
    West Point, Utah 84015
    (801)-775-0369

    Child’s name: _______________________________________

    Favorite color: _____________________ Favorite food: _____________________

    Favorite toy: _____________________ Favorite pet: _____________________

    Siblings: ____________________________________________________________________________

    ____________________________________________________________________________________

    Child’s interests: _____________________________________________________________________

    ____________________________________________________________________________________

    Describe any pertinent social information or special needs of the child: __________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    Describe any physical problems or medical conditions of the child; i.e. allergies, sensitivities, seizures,

    asthma, diabetes, heart disease, respiratory illness, drug reactions, speech difficulties, etc. ___________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    Give instructions for anything mentioned above:_____________________________________________

    ____________________________________________________________________________________

    ____________________________________________________________________________________

    Signature of Parent/Guardian__________________________________________

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