Child Details As On Their Birth Certificate
Mother's Details :
Father's Details :
Who has parental responsibility? :
Other Emergency Contacts :
Doctors :
Medical Details :
Medical Details -
Does your child have any medical problem that we should be made aware of? Please give details below:
Allergies -
Does your child have any allergies that we should be made aware of? Please give details below:
Long Term Medication -
Is your child on any long term medication that we should be made aware of? Please give details below:
Special Dietary Requirements -
Does your child have any special dietary requirements? E.g. Vegetarian. Please give details below:
Collection Arrangements :
Who is authorized to collect your child from Miles Of Smiles other than parents? Your child will only be allowed to leave Miles Of Smiles with people listed here. Any changes to this information should be made in writing to the Miles Of Smiles Manager.
Term :
1. Please send a Napkin, tiffin with fully cooked food, and sipper water bottle with your child daily.
