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FOND DU LAC COUNTY HEALTH DEPARTMENT 160 S MACY ST, FOND DU LAC WI, 54935 (920)9293085 School Influenza Clinic Consent Form FOR AGES 4 K THROUGH 12th GRADE Authorization to Receive 20152016 Attenuated
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How to Fill Out Child's Name - Please Print:

01
Start by locating the designated space on the form where the child's name is required to be entered. This is often found under a section titled "Child Information" or "Personal Details."
02
Prepare a pen or a marker that provides clear and legible writing so that the name can be easily read. It is recommended to use black or blue ink for better visibility.
03
Carefully write the child's full name in capital letters or block letters. This helps ensure clarity and avoids any potential confusion or misinterpretation. Begin with the first name, followed by the middle name (if applicable), and finally, the last name.
04
Take your time while filling out the child's name to prevent any mistakes or errors. Double-check the spelling of each name component to ensure accuracy.
05
In case the child's name consists of multiple words, make sure to leave a space between each word. For hyphenated names, include the hyphen as part of the name, unless otherwise specified.

Who Needs Child's Name - Please Print:

01
Individuals or organizations that require the child's name can vary depending on the specific context. Here are some common situations where a child's name may be requested:
1.1
School or educational institutions for enrollment purposes.
1.2
Healthcare providers or hospitals when registering a child as a patient.
1.3
Volunteer organizations or clubs that cater to children for membership records.
1.4
Legal documents like passports, birth certificates, or adoption papers.
1.5
Event or program registrations, such as summer camps or extracurricular activities.
02
It is crucial to provide an accurate and complete child's name when requested, as it helps ensure proper identification, communication, and documentation in the respective domain.
Note: Always refer to the specific instructions or guidelines provided by the corresponding form or organization regarding how to fill out the child's name and who requires it.
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Child's name refers to the given name of a young individual.
The child's parents or legal guardians are typically required to provide the child's name.
The child's name can be filled out on official documents such as birth certificates, school forms, and medical records.
The purpose of a child's name is to identify the individual and distinguish them from others.
The child's full given name, including first, middle, and last names, should be reported.
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