LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emeergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/ Adviser: Contact No.
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emeergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/ Adviser: Contact No.
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emeergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/ Adviser: Contact No.
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emeergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/ Adviser: Contact No.
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emeergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/ Adviser: Contact No.
Allergies and other pertinent health information