Emergency Contact Form

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Information Form for _____________________________
(NAME OF CHILD)
Your Name: ________________________________
Relation to Child: ______________
Best Contact Number: __________________________________________________________
Others that might pick up your child during this project:
Name: ____________________________________
Relation to Child: ______________
Best Contact Number: __________________________________________________________
Name: ____________________________________
Relation to Child: ______________
Best Contact Number:____________________________________________________________
Name: ____________________________________
Relation to Child: ______________
Best Contact Number: ___________________________________________________________
Medical Information:
Allergies: ________________________________________________________________
Medical Conditions:________________________________________________________
________________________________________________________________________
________________________________________________________________________
Measurements:
ht: ____‘____”
wt:______ lbs
Sizes:
______ shirt
______ pants/skirt
______ shoe
Preferences:
Favorite Food:________________________________________________________________
Favorite Color: ________________________________________________________________
Hobbies: _____________________________________________________________________

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