Name of child: Samuel LawrenceDate of birth: 16th April 2002
Emergency contact details
Contact person 1
Surname: KaleFirst name/s: BettyAddress: 80 Deanville Street, Conville 6656Home telephone: 9656 4603Work telephone: N/APlace of work/study: N/AHours usually available: DailyRelationship to the child: NeighbourSignature of above person sighted by Cybertots staff member? Yes
Contact person 2
Surname: MantleFirst name/s: FranAddress: 2B Kallas Drive, THE DOWNS, 6656Home telephone: 9222 4111Work telephone: N/APlace of work/study: N/AHours usually available: DailyRelationship to the child: AuntySignature of above person sighted by Cybertots staff member? Yes