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ב"ה

Generic Child Info Form

  • Child Info for Events

  •  I hereby authorise L’Chaim Chabad- Kingston leaders and staff to obtain any medical care necessary for my child. I understand that in the case of emergency of any significant illness or injury, attempt will be made to contact myself when practical. I agree to pay for any cost that may occur as a result of the injury/illness. 

  • I agree to the above declaration. 

  • Should be Empty:
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