Medical Emergency Form Medical Emergency Information Prove You Are A Human: What is 2 + 4?*Student Name* First Last List any medical problems your child has:List any medications your child will need while at Fanfare:List any allergies that may cause your child difficulty (such as foods, bees, etc):Parent/Guardian Name:* First Last Emergency Contact Name:* First Last Emergency Contact Phone:*Who will be bringing and picking up your child?*PhoneThis field is for validation purposes and should be left unchanged.
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