Child Information Sheet
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
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Full Name: Ava Smith
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Date of Birth: February 14, 2050
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Gender: Female
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Home Address: 123 Maple Street, Springfield, IL, 62704
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Primary Phone Number: (555) 123-4567
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Email Address: ava@email.com
Parent/Guardian Information
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Parent/Guardian 1:
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Full Name: Olivia Smith
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Relationship to Child: Mother
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Phone Number: (555) 234-5678
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Email Address: olivia@email.com
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Parent/Guardian 2 (if applicable):
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Full Name: Ethan Smith
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Relationship to Child: Father
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Phone Number: (555) 345-6789
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Email Address: ethan@email.com
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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
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Primary Physician’s Name: Dr. Emma Wilson
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Phone Number: (555) 890-1234
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Medical Conditions: None
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Allergies: Penicillin
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Current Medications: None
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Preferred Hospital (if any): Springfield General Hospital
Additional Information
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Special Needs/Considerations: Requires a gluten-free diet
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Previous School/Childcare Provider: Bright Futures Daycare
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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]
