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Complete digital profile with prints and ID are only available if prints are taken by Carver Emory.

Fingerprints will not be included in 8x10 poster when ordering directly via internet, child’s photo must be uploaded or contact us at 718 296 2262 to schedule an appointment.
   Child ID Application
Personal Information  
Child's First Name:
Weight : 
Middle Name : 
Height : 
Last Name : 
Eye Color : 
Nick Name : 
Hair Color : 
Gender : 
  male     female
Disability: 
Date of Birth : 
Blood Type : 
Age : 
Medications : 
Race: 
Allergies (specify) : 
SS.No : 
Visual Aid : 
Describe any
distinguishing physical characterisctics on the child (Birthmarks, Scars, Etc) :  
 
 
Home  /  Residence
 
Street Address : 
Zip / Postal Code : 
City / Town : 
County/Parish : 
State : 
  
 
Parent / Guardian  
Parent's First Name : 
Primary Care Physician : 
Middle Name : 
Physician Telephone : 
Last Name : 
Dentist Name : 
Daytime Phone : 
Dentist Telephone : 
Evening Phone : 
Primary Language : 
E-Mail : 
Secondary Language : 
 
Comments : 
that may help Identify your Child (Speech impediments, Personality, etc.)
 
  
 
     



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