Child Information Record

Child Information Record
BCAL-3731 (Rev. 7-18)

Student Information

Health

Emergency Contact and Release of Child: List all individuals, including parents/legal guardians, in order of preference, to be contacted in an emergency and to whom the child can be released.

Emergency Contact and Release

Emergency Contact and Release

Emergency Contact and Release

Release of Child Only

Release of Child Only

Release of Child Only

Release of Child Only

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