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Photographs can either be emailed or sent in. Parental responsibility Bill Payer Emergency Contact Authorised Pick Up Medical Conditions / Allergies Please provide us with details of the following and treatments if required Allergies Special dietary requirements Age Illness 2 mths old Diphtheria Hib Haemophilus influenzae type b Polio DTaP / IPV / Hib and PCV Poliomyelitis Pneumococcal infection Rotavirus Tetanus and Rota Whooping cough Pertussis Y/N C Meningococcal Group C Rotavirus Tetanus...
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