Child Information Sheet
Welcome to the Child Information Sheet designed to facilitate the school registration process. This document ensures that all essential information about your child is provided accurately and efficiently. Please fill in the following details to help the school understand and cater to your child's needs.
Child’s Personal Information
Full Name: Ava Smith
Date of Birth: February 14, 2050
Gender: Female
Home Address: 123 Maple Street, Springfield, IL, 62704
Primary Phone Number: (555) 123-4567
Email Address: ava@email.com
Parent/Guardian Information
Parent/Guardian 1:
Full Name: Olivia Smith
Relationship to Child: Mother
Phone Number: (555) 234-5678
Email Address: olivia@email.com
Emergency Contacts
Name | Relationship | Phone Number | Email Address |
---|
Lily Johnson | Aunt | (555) 456-7890 | lily@email.com |
Noah Williams | Uncle | (555) 567-8901 | noah@email.com |
Mia Davis | Grandmother | (555) 678-9012 | mia@email.com |
Liam Brown | Neighbor | (555) 789-0123 | liam@email.com |
Medical Information
Primary Physician’s Name: Dr. Emma Wilson
Phone Number: (555) 890-1234
Medical Conditions: None
Allergies: Penicillin
Current Medications: None
Preferred Hospital (if any): Springfield General Hospital
Additional Information
Special Needs/Considerations: Requires a gluten-free diet
Previous School/Childcare Provider: Bright Futures Daycare
Reason for Transfer: Family relocation
Consent and Acknowledgement
Parent/Guardian's Name: Olivia Smith
Date: August 22, 2050
Please review the information carefully and ensure all details are correct. If you have any questions or need further assistance, do not hesitate to contact [YOUR COMPANY NAME] at [YOUR EMAIL].
Thank you for your attention to this important matter.
[YOUR COMPANY NAME]
Phone Number: [YOUR COMPANY NUMBER]
Address: [YOUR COMPANY ADDRESS]
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