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Full Name (for each parent/guardian)

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Special needs or considerations (e.g., developmental, behavioral)
Primary Doctor’s Name and Phone Number
Preferred Hospital (if any)
Health Insurance Provider and Policy Number (if applicable/required by daycare)
2. Parent/Guardian Information (Primary Contacts):

Relationship to Child

Primary Phone Number (mobile – required)
Secondary Phone macedonia phone number list Number (work, home – recommended)
Email Address
Home Address

Work Address and Work Phone Number

3. Emergency Contact how to build a phone list using Persons (Authorized Pick-up, if Parents Unavailable):

Important: These are individuals authorized to pick up the child and/or be contacted if parents cannot be reached.
List at least 2-3 be numbers contacts.
For each contact:
Full Name
Relationship to Child (e.g., grandparent, aunt, uncle, neighbor).

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