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If the information is not known or does not apply unknown or none is the required response. I give permission to licensed by the Department of Licensing and Regulatory Affairs to secure emergency medical for the above named minor child while in care. BCAL-3731 Rev. 6-17 Previous editions 4-16 6-15 and 7-12 may be used until September 30 2018. See Reverse Side Emergency Contact Release of Child List all individuals including parents/legal guardians in order of preference to be contacted in an e ...

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