Escolar Documentos
Profissional Documentos
Cultura Documentos
The following steps outline the action I would like the school to follow in the
event of an emergency with my child:
1. ___________________________________________________________________
2. ___________________________________________________________________
3. ___________________________________________________________________
4. ___________________________________________________________________
5. ___________________________________________________________________
Please state any medication that causes an allergic reaction in your child: e.g.
penicillin
_____________________________________________________________________
_____________________________________________________________________
Yes
No
____________________ ____________
Parent Signature Date