hild allergic to any kind of medicine or food (e.g. Penicillin, Aspirin, seafood, milk, insect bites)?Р□否No Р□是Yes(名称Name)______________________________ Р(过敏程度Allergic degree:轻度mild □中度moderate □重度severe □)Р3. 幼儿是否需要长期或经常服食/涂抹药物?РIs this child constantly taking any medicine?Р□否No □是Yes(名称Name)______(原因Reason)___________Р4. 本人同意在意外或紧急时,园方把幼儿送往合适之医院就诊。РIn case of any accident or emergency, I hereby authorize the School to send my child to the appropriate hospital for treatment.Р□否 No □是YesР5.本人同意幼儿如有不适或意外,可在本园卫生保健室治疗(急救包括小伤及擦伤)。РIn case of any sickness or accident, I hereby authorize the School to administer first aid to this child in the School’s medical room (including minor abrasion and wound).Р□否 No □是YesР学费支付School Fees PaymentР按学期缴付(园方另行通知)Р家长签名Parent’s Signature:______________ 日期Date:
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