LEARNERS AND SAFETY AND EMERGENCY CARD

District Name: TALUGTUG

Name of School: CINENSE INTEGRATED SCHOOL School ID:501211
School Head: DENNIS P. ROMANO

Name of Learner: ANGEL KURT L. DAYAG Age: 9

Blood Type:
Contact in Case of Emergency
Name of Contact Person: ESMERALDA D. CASTILLO
Contact Number: 093551193526 Relationship: GUARDIAN
Teacher/Adviser: AISIELYN S. GARCES Contact No:9074447748
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name: TALUGTUG
Name of School: CINENSE INTEGRATED SCHOOL School ID:501211
School Head: DENNIS P. ROMANO

Name of Learner: PRINCESS SARAH P. TODEÑO Age: 9

Blood Type:
Contact in Case of Emergency
Name of Contact Person: LORNA CABUCANA
Contact Number: 09753162411 Relationship: GUARDIAN
Teacher/Adviser: AISIELYN S. GARCES Contact No:9074447748
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information
 LEARNERS AND SAFETY AND EMERGENCY CARD
District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information
 LEARNERS AND SAFETY AND EMERGENCY CARD
District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information
 LEARNERS AND SAFETY AND EMERGENCY CARD
District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information
 LEARNERS AND SAFETY AND EMERGENCY CARD
District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information
 LEARNERS AND SAFETY AND EMERGENCY CARD
District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information

LEARNERS AND SAFETY AND EMERGENCY CARD

District Name:
Name of School: School ID:
School Head:

Name of Learner: Age:

Blood Type:
Contact in Case of Emergency
Name of Contact Person:
Contact Number: Relationship:
Teacher/Adviser: Contact No:
Allergies and other pertinent health information