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My son/daughter does/does not have dietary requirements please delete as appropriate. If yes please specify. Please delete and complete the following as is appropriate. Date of Birth My child has no illness allergy or physical disability Name of own doctor The following illness allergy or physical disability Doctor s address cross out which does not apply Doctor s telephone No which necessitates the following medical treatment I consent to staff administering paracetamol/ibuprofen if required...
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