Ficha da Criana

Nome: __________________________________________
Data de Nascimento: _______ /_______ /__________

Foto

Idade: __________________________________________
Telefone Encarregado de Educao: ______________ Telemvel: _____________
Pai: __________________________________ Profisso: _________________
Telef.: ____________ Telem.: _____________ Telef. Emprego: _____________
Me: _________________________________ Profisso: _________________
Telef.: ____________ Telem.: _____________ Telef. Emprego: _____________
Vive com: _________________________________ Parentesco: ____________
Cuidados e restries alimentares: _____________________________________
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Indicaes mdicas, alergias, etc.: _____________________________________
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Cuidados e atenes especiais: ________________________________________
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Autorizaes para levar a criana:

Nome: ___________________________________ Parentesco: _____________
Nome: ___________________________________ Parentesco: _____________
Nome: ___________________________________ Parentesco: _____________
Nome: ___________________________________ Parentesco: _____________
Nome: ___________________________________ Parentesco: _____________
Nome: ___________________________________ Parentesco: _____________

Outras informaes teis:

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