C H I L D   I D E N T I F I C A T I O N   P A G E

Print this page and keep it in a safe, easy to remember place. You should also attach a zip lock bag containing a sample of your child's hair or fingernails (D.N.A.) to the page. Hair samples need to be from the root. All ten fingers should be printed.

Attach color front and back photos of your child’s head in the spaces below.

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Attach color front and back photos of your child’s head in the spaces above. 


Name____________________________________________________________D.O.B.___________


Nickname/s ___________________________________________________________


Eyes____________   Hair ____________   Weight_____________   Race _____________


Language/s Spoken _____________________________________________________


Identifying
Marks (Like scars) _______________________________________________________________________


Last Seen Wearing _______________________________________________________________________


Emergency
Contact Person/s   ________________________________________________________________________


                              ________________________________________________________________________


Phone Numbers    _________________________________________________________________________


Other Helpful Info _________________________________________________________________________

           
                             __________________________________________________________________________



                                           Use an ink pad to add child's fingerprints. Print all fingers.

               RT Pinky                    RT Ring                      RT Middle                     RT Index                    RT Thumb 





 




                                                                                                                                              

           
              LT Pinky                    LT Ring                       LT Middle                      LT Index                    LT Thumb

 

                                                     


                                                   

                                                             
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