1

For any checked conditions above, please be specific for the safely of the participant (seizure care, behaviors with redirection techniques, abilities, inhalers, assistance needed)
1

For any checked conditions above, please be specific for the safely of the participant (seizure care, behaviors with redirection techniques, abilities, inhalers, assistance needed)
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In the event of an emergency, where the parent/guardian listed above can’t be reached, whom else should we contact?

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