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Home
About
Gallery
Our Philosophy of Learning
Curriculum and Instruction
Sample Schedule
Testimonials
Contact
Programs
Preschool Programs
Kindergarten
Extended Hours
News
Announcements
Events Calendar
Facebook
Parents
Like us on Facebook!
Downloadable Forms
Handbook
Meeting Agendas and Handouts
Medical Information
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Child's Name
*
First
Last
Address
*
Phone
*
Physician Name
Physician Phone
Does your child have any medical condition we should know about?
Is there evidence of allergies such as eczema, allergic rhinitis, insect stings, etc. which the school should know? (Please specify)
If allergy medication needs to be administered in the event of an emergency, please complete the Medication Permission Form obtained from the school office.
Does the child have any food restrictions? (Please specify)
Signed (Full name of member of DNPCCNS)
*
In case my child has an accident or becomes ill and my doctor is not available, I give permission for my child (above) to be treated by the University Medical Center at the Princeton Emergency Room.
Submit