Your Child’s Information
| Full Legal Name | ___________________________________ |
| Height | ___________________________________ |
| Weight | ___________________________________ |
| Eye Colour | ___________________________________ |
| Hair Colour | ___________________________________ |
| Allergies (if any) | ______________________________________________________ |
| ______________________________________________________ | |
| Blood Type | ___________________________________ |
|
Doctor's Name |
___________________________________ |
|
Doctor's Phone Number |
___________________________________ |
| Chronic Illnesses | ______________________________________________________ |
| ______________________________________________________ | |
| Birthmarks, Scars etc. | ______________________________________________________ |
| ______________________________________________________ | |
| Other Information | ______________________________________________________ |
| ______________________________________________________ | |
| ______________________________________________________ | |
| ______________________________________________________ | |
| ______________________________________________________ |