Product Description

Complete this important form before your child is in an emergency situation and you aren’t immediately available. This will give you peace of mind that your wishes are known.

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The form has spaces for the important information another adult would need in an emergency if your child was in need of care and you were not there. This includes:

• Name
• Date of birth and age
• Medical conditions
• Medications
• Allergies
• Routines

Don’t leave it to chance that someone will know what you want done with your child in an emergency. Write it down.