COMO PARK LANGUAGE AND ARTS PRESCHOOL AND CHILDCARE CENTER
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Emergency Card

EMERGENCY INFORMATION

CHILD’S NAME_______________________HOME PHONE #________________ADDRESS_________________

PARENT/GUARDIAN NAME_____________________  PARENT/GUARDIAN NAME_______________________

PARENT/GUARDIAN WORK#____________________  PARENT/GUARDIAN WORK#______________________

PARENT/GUARDIAN CELL#______________________ PARENT/GUARDIAN CELL#_______________________

EMERGENCY CONTACTS:

1ST NAME___________________________  HOME PHONE#________________________

CELL#________________________________ ADDRESS____________________________

2ND NAME__________________________   HOME PHONE#________________________

CELL#_________________________________ADDRESS____________________________

DOCTOR____________________________  PHONE#_____________________________ADDRESS___________________

HOSPITAL___________________________ PHONE#_____________________________ ADDRESS___________________

DENTIST____________________________  PHONE#_____________________________ADDRESS___________________

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