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  • Chad Sticker 0806 Kiwanis

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    landon6414
    192 views1 page
    The document contains a template for collecting personal information about children such as name, nickname, date of birth, address, contact information for parents and emergency contacts, physician details, medications, allergies, and special needs. The template is repeated three times and collects the same fields each time to allow information for multiple children to be entered.

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    ChadSticker0806kiwanis

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    The document contains a template for collecting personal information about children such as name, nickname, date of birth, address, contact information for parents and emergency contacts, physician details, medications, allergies, and special needs. The template is repeated three times and collects the same fields each time to allow information for multiple children to be entered.

    Copyright:

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

    Chad Sticker 0806 Kiwanis

    Uploaded by

    landon6414
    The document contains a template for collecting personal information about children such as name, nickname, date of birth, address, contact information for parents and emergency contacts, physician details, medications, allergies, and special needs. The template is repeated three times and collects the same fields each time to allow information for multiple children to be entered.

    Copyright:

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

    CHILDS NAME NICK NAME DATE OF BIRTH

    CHAD: Children Have An iDentity


    CHILDS NAME NICK NAME DATE OF BIRTH ADDRESS CITY STATE ZIP

    ADDRESS CITY STATE ZIP MOTHER’S NAME (H) PHONE (W) PHONE

    MOTHER’S NAME (H) PHONE (W) PHONE FATHER’S NAME (H) PHONE (W) PHONE

    FATHER’S NAME (H) PHONE (W) PHONE CHILD’S PHYSICIAN PHONE

    CHILD’S PHYSICIAN PHONE EMERGENCY CONTACT (NOT A PARENT) PHONE

    EMERGENCY CONTACT (NOT A PARENT) PHONE MEDICATIONS & ALLERGIES

    MEDICATIONS & ALLERGIES SPECIAL NEEDS

    SPECIAL NEEDS

    CHAD: Children Have An iDentity


    CHILDS NAME NICK NAME DATE OF BIRTH
    CHAD: Children Have An iDentity
    CHILDS NAME NICK NAME DATE OF BIRTH ADDRESS CITY STATE ZIP

    ADDRESS CITY STATE ZIP MOTHER’S NAME (H) PHONE (W) PHONE

    MOTHER’S NAME (H) PHONE (W) PHONE FATHER’S NAME (H) PHONE (W) PHONE

    FATHER’S NAME (H) PHONE (W) PHONE CHILD’S PHYSICIAN PHONE

    CHILD’S PHYSICIAN PHONE EMERGENCY CONTACT (NOT A PARENT) PHONE

    EMERGENCY CONTACT (NOT A PARENT) PHONE MEDICATIONS & ALLERGIES

    MEDICATIONS & ALLERGIES SPECIAL NEEDS

    SPECIAL NEEDS

    CHAD: Children Have An iDentity


    CHILDS NAME NICK NAME DATE OF BIRTH
    CHAD: Children Have An iDentity
    CHILDS NAME NICK NAME DATE OF BIRTH ADDRESS CITY STATE ZIP

    ADDRESS CITY STATE ZIP MOTHER’S NAME (H) PHONE (W) PHONE

    FATHER’S NAME (H) PHONE (W) PHONE


    MOTHER’S NAME (H) PHONE (W) PHONE

    FATHER’S NAME (H) PHONE (W) PHONE CHILD’S PHYSICIAN PHONE

    CHILD’S PHYSICIAN PHONE EMERGENCY CONTACT (NOT A PARENT) PHONE

    EMERGENCY CONTACT (NOT A PARENT) PHONE MEDICATIONS & ALLERGIES

    MEDICATIONS & ALLERGIES SPECIAL NEEDS

    SPECIAL NEEDS

    CHAD: Children Have An iDentity

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