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Kidsville Daycare 412-770-8036
113 S Aiken Ave, Pittsburgh, PA, 15206
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Student info
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Parent info
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Authorized Pickup Info
4
Policy & Waiver
5
Review
Student #1
First Name
Last Name
Date of Birth
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Allergies
Medication Needs
HEALTH INSURANCE Carrier
HEALTH INSURANCE POLICY #
Child's Physician Name
Physician Address
Physician Phone #
Enrollment/Start Date
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