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Child Registration Form

 

 

Parent's / Guardian's

 

 

 


 

Emergency Information

 

Two (2) People To Contact if Parent(s) Cannot Be Reached

 

People 1

 

 

People 2

 

 

Person(s) Authorized To Pick Up Child

Person(s) NOT Authorized To Pick Up Child*

 

AGREEMENTS

 

1. Kidz ЯPeople 2 Spa & Lounge (KRP2) agrees to notify the parent(s)/guardian(s) whenever the child becomes ill and the parent(s)/guardian(s) will arrange to have the child picked up as soon as possible.

2. The parent(s)/guardian(s) authorize KRP2 to obtain immediate medical care if any emergency occurs when the parent(s)/guardian(s) cannot be located immediately**

 

SIGNATURES

 

 

** If there is an objection to seeking emergency medical care, a statement MUST BE obtained from the parent(s) or guardian(s) that states the objection and the reason for the objection.

 
 

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