TROOP 9 INFO SHEET
Name__________________________ Birthday__________
Parents/Guardians___________________________________________
Address______________________________________________________
Insurance
& Policy#____________________________________________
Hospital_______________________
Doctor________________________
Any
and all allergies to anything___________________________________
_____________________________________________________________
Can
we assist with over the counter meds_________________________
Special things to watch_________________________________________
____________________________________________________________
Three
Separate Emergency Contact People
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Signature____________________________ Date____________________