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Daycare Emergency Contact
Please keep this up to date. Tell us straight away if a number changes.
Child's full name
*
(required)
Date of birth
*
(required)
Room or group
Contacts
First contact - name and relationship
*
(required)
First contact - phone
*
(required)
Second contact - name and relationship
*
(required)
Second contact - phone
*
(required)
Email for messages
*
(required)
Home address
*
(required)
Collection
Who else may collect your child?
*
(required)
Anyone who must not collect your child?
A collection password, if you'd like one
Medical
Allergies and what to do
*
(required)
Medical conditions or medication
GP practice name and number
*
(required)
If you cannot be reached, staff may seek emergency medical treatment
*
(required)
Leave this field empty
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