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Contact / Emergency Update
Contact / Emergency Update
Please fill out your information below so we can update your child’s file regarding all contact and emergency phone numbers. Please fill out the form regardless of whether or not you have changed any phone numbers so we can ensure we have up to date information. Thank you.
Requesting For
*
Updates to My Registered Child
Adding a New Child to my Family
Child Name
*
First
Last
Date of Birth
Address
Street Address
City
Postal Code
Program
Infant & Toddler
Group Daycare
Pre School
Out of School Care
Summer Camp
Start Date
Parents Contact Info
In case of any changes please provide following information
Mother's Work Phone
Mother's Cell Phone
Fathers Work Phone
Fathers Cell Phone
Child's Medical Info
Please complete the following section
Health Care #:
Doctor's Name & Phone Number
Provide the Doctor Name and Phone Number Please
Child's medical info
Health care #, Doctor's Name, Allergies, Medications, General Medical Concerns, Ongoing Therapies & Services
Alternative Person To Call in Case of Emergency
Please provide your new emergency contact and authorized pick up person.
Contact #1:
First
Last
Phone
Contact 1 Relationship
This Person Is Also Authorized to Pick Up Child
Yes
Contact #2:
First
Last
Phone
Contact 2 Relationship
This Person Is Also Authorized to Pick Up Child
Yes
Captcha
Home
Registration
Registration Information
New Registration
Re-Registration
Summer Camp Registration
OSC Holiday Registration
About
About Us
Parkland Players Locations
Our Staff
Gallery
Videos
Programs
Specifications & Strategy
Infant and Toddler
Pre-school Care
Importance of Preschool Education
Group Daycare
Pre-Kindergarten
Out of School Care
Summer Camp
Policies
News
Articles and News
Event and Adventures
Forms
Contact
Contact Us
FAQ
Careers