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Kids to the Rescue
Lesson Plan - Safety Information Sheet

My first name is_______________________________.

My last name is_______________________________.

I am ____________ years old.

My parent's first names are________________________.

My parents last name is________________________.

My Street address is_____________________________.

My city is_____________________________.

My state is____________________________.

My phone number is_______________________.

I go to_____________________________________School.

My teachers name is______________________________.

My allergies are__________________________________.

My doctors name is_______________________________.

 


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