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Emergency, Medical, & Health Information

To help us provide a safe and supportive environment, please complete the information below. The information you provide will be used to respond appropriately in the event of an illness, injury, or medical emergency while your daughter is participating in Royal Gems Mentoring Program activities.

Does the participant have any allergies?
Does the participant have any medical conditions we should be aware of?
Does the participant take any medications during program hours or events?
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