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I <br />I <br />I <br /> <br /> I <br />i <br />I <br />I <br />I <br /> <br /> NANDICAPPED CHILD AREA <br />WARNING SIGN REGISTRATION <br /> <br />(Please print) <br /> <br />NAME <br /> (parent) <br /> <br />ADDRESS <br /> <br />/ <br /> (child) <br /> <br />HOME PHONE' <br /> <br />WORK PHONE <br /> <br />Discription of Child's Handica~ <br /> <br />I <br />I <br />I <br /> <br />Note' Upon request, the registrant shall provide the City with a medical <br /> con~rmation of the Child's handicap. <br /> <br />I, the,undersigned parent.or legal guardian of the above named handicapped <br />child, do ~nderstand that the subject signs may not provide an increased <br /> <br />level of protection or safety; and that we must not reduce the level of <br />attention we pay to our children when they are outside. <br /> <br />I <br /> Signature .Date, <br /> <br /> sx t F-~x a' J ,' <br /> <br /> <br />