Medical, Dietary, and Special Needs
Please complete this form to advise us whether or not your child has any health, medication, dietary, or special needs.

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Email *
Your name *
What is your relationship to the child you are completing this form for? *
Name of child *
Child's date of birth *
MM
/
DD
/
YYYY
Child's class/year *
Does your child have any medical conditions (this includes any short term illnesses for which they require medication to be administered in school)? *
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