WebEmergency Information Card Child’s Start Date: Child’s Full Name Birthdate Address City State Zip Code ... Persons authorized to pick up your child (non-emergency) basis other than parents Relationship: Name Contact Phone # ... information indicated above and any updates to this information is the responsibility of the parent/ WebEmergency Information Card Child's Full Name . Date Of Birth . Phone Number * Please enter a valid phone number. Email * ... Special Procedures required in caring for your child: * Parent / Guardian Information * Parent / Guardian …
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Dear Care Provider: - City Home - City of Sacramento
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