Fillable The I.D. Kit Keeping our precious children safe (Town of Hempstead)

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The I.D. Kit Keeping our precious children safe (Town of Hempstead)

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RIGHT THUMB RIGHT INDEX RIGHT MIDDLE RIGHT RING RIGHT LITTLE
Attach a
recent photo
DNA Record
LEFT THUMB LEFT INDEX LEFT MIDDLE LEFT RING LEFT LITTLE
Fingerprint Record
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Photo
• Make sure your child knows his/her full name, your full name, your address, and your telephone
number(s), including area codes(s). Make sure your child knows how to use a telephone and how
to call 911.
• Do not leave your young children home alone. If you must leave your teenage children at home by
themselves, tell them not to answer the door. If they answer the telephone, they should not mention
that they are alone, but should say that you will be back shortly.
• Tell your children to move away from cars that pull up beside them if they do not know the driver,
even if the driver claims to know them. If your child is being followed, they should know to run home
or go to a safe house in the neighborhood or the nearest public place.
• Teach your children not to play in isolated areas and not to take shortcuts through empty parks,
eldsoralleys.
• Let your children know that they should not accept items from strangers or others without your
express permission.
• Never leave your child alone in a public place, stroller or car, even for brief periods of time. Always accompany your young children
to the bathroom in public places and be present during all door-to-door activities.
• Maintainup-to-dateidenticationinformationonyourchildrenatalltimes,includingmedicalanddentalrecords,photographs,
ngerprintsandDNAsamples.
• Tell your kids that they may contact you at anytime to pick them up and where to go if you are not available.
The I.D. Kit
Safety Tips*
* (Information from FBI’s Child I.D. App)
Keeping our precious children safe and sound is a vital responsibility the Town of Hempstead shares with
families,publicsafetypersonnel,schoolofcialsandcaregivers.ThroughtheTownClerk’sOfce,our
ongoing commitment to protecting young people includes the enclosed Child Safety I.D. Kit. The kit provides
an invaluable tool for parents and guardians in the event of a missing child or other emergency situation.
FillingouttheattachedformistherststepincompletingaChildSafetyI.D.record.ChildSafetyExperts
intheHempsteadTownClerk’sOfceareavailabletoassistincompilingayoungster’sI.D.prole.Infact,
theClerk’sOfceoffersFREEngerprintingandphotoservicestohelpyoucompleteyourchild’sI.D.
information.TheTownClerk’sOfceislocatedontherstoorofHempsteadTownHall,1Washington
StreetinHempsteadVillage.OfcehoursareMondaythroughFriday,8a.m.to4:45p.m.withextended
hours to 7 p.m. on Thursday.
TheTownClerk’sMobileChildIdenticationProgramwouldwelcometheopportunitytovisityourlocal
school,organization,eventorclub.FormoreinformationortoarrangeadatecalltheClerk’sOfceat
(516) 812-3046.
(We provide free
fingerprinting &
photo services;
call 516-812-3046
for information.)
Attach several strands of hair
with follicle intact!
Schools, organizations, events & clubs…
Hempstead Town can bring its Mobile Child Identification
Program to you! Call 516-812-3046 for information.
Complete & retain this form with your vital records!
Contact the Town Clerk’s Office to complete this safety record.
Town of Hempstead
1WashingtonStreet
Hempstead,NY11550
*****ECRWSS**
RESIDENTIALCUSTOMER
PRESORTSTD
U.S.POSTAGE
PAID
Garden City NY
ZipCode11530
Permit391
Medical Data
Doctor’sName:________________________
Doctor’sPhone:_______________________
Sex:M F BloodType:___________
BirthHospital&Town: ________________________
Race:____________ Complexion:_____________
Height:___________ HairColor:______________
Weight:___________ EyeColor:______________
ShoeSize:________ ClothingSize: ___________
Glasses? Yes No Braces? Yes No
ChronicIllnesses: ___________________________
Medications: _______________________________
Allergies:__________________________________
WhatOurChildLikes
Favorite Places:
__________________________________
FavoriteFoods:
__________________________________
Pastimes:
__________________________________
Characteristics:
__________________________________
Complete & retain this
form and file with your
vital records!
Personal Data
Last Name: ____________________________________
First Name: ___________________________________
Middle Name: __________________________________
Nickname: _____________________________________
Social Security Number: __________________________
Address: ______________________________________
City, State, Zip: _________________________________
Date of Birth: ___________________________________
Mother’s Name: _________________________________
Mother’s Phone: ________________________________
Father’s Name: _________________________________
Father’s Phone: ________________________________
Dental Records
Have your child’s dentist complete this section.
Mark on the bodies any identifying
scars, birthmarks, moles, etc.
FRONT BACK
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The I.D. Kit Keeping our precious children safe (Town of Hempstead)

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Completed 3 August 2020

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