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Child Safe ID Image Upload & Form

Child Safe ID Upload Form

Upload Photo FIRST



Maximum File Size: 2megs


Only Images Can Be Uploaded
Example: .jpg or .bmp

PAYMENT DUE UPON DELIVERY (INSIDE BERMUDA). Additional cards $5.00


Please provide the appropriate info for your childs' Safe ID card. This info is recommended but optional. It is to the parents descretion what contact information is printed on the cards.

 

Child Safe ID Info
Mothers Name
Fathers Name
Mothers W Tel:
Mothers H Tel:
Fathers W Tel:
Fathers H Tel:
Doctors Name
Doctors Tel:
Did you Upload a photo?

YES NO

FileName:
Child's Name
Your DOB
Hair Color
Eye Color
Blood Type
Identifying Marks
Additional Info
Referred By
Your Email
Medical Conditions, Allergies Medications
 
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