H.1 - Health Form - Forms - Girl Guides of Canada.
Personal health form - girl members (h.1) girl s name: last name first name birth date: height: weight: year/month/date address: no. street apt. no. p.o. box or r. r. no. city phone: province /territory home ( postal code ) business cell contact information of custodial parent or guardian: last name phone: home business cell address (if different from above) street ) ) e-mail given name no. ( ( apt. no. ( ( ( ) ) ) p.o. box or r. r. no. city province/territory postal code if parent/guardian unavailable, for emergencies, please notify: 1