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DISABLED CHILD APPLICATIONINSTRUCTIONS1. Parent should complete the first page of the form, enter information on the first line on page two and then forward to the doctor who treats your child for
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01
Ensure you have all necessary information about the child and the parent/guardian who is completing the form.
02
Start by providing your contact details.
03
Fill out the child's personal information such as name, date of birth, and any medical conditions or allergies.
04
Complete the emergency contact information including name, relationship to child, and phone number.
05
Sign and date the form to confirm that all information provided is accurate and up to date.

Who needs parent should complete the?

01
Parents or legal guardians of children who are enrolling in a school, camp, extracurricular activity, or any other program that requires parental consent and emergency contact information.
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Parent should complete the form with all necessary information and submit it accordingly.
The parent or guardian of the child is required to file parent should complete the form.
Parent should fill out the form accurately and completely with all the required information.
The purpose of parent should complete the form is to provide necessary information about the child's parents or guardians.
The form must report information about the child's parents or guardians such as their names, contact information, and relationship to the child.
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