RANSPORT TO THE HOSPITAL) 0 YES 0 NO (47) FAMILY DOCTOR (46) PHONE HUMBER NB) HOSPITAL PREFERENCE (50) IF YOUR CHILD SUFFERS FROM ANY ILLNESS, ALLEGIES OR HAS ANY PHYSICAL teCTATI0NS THAT WE SHOULD BE AWARE Of PLEASE LIST: (611 MAXIS) OF CHILDOIEM (52) SCHOOL ATTENDING 453) STUDENT 110. (OPTIONAL)