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Special Needs Registry
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Incorrect emails
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Drag and drop csv file with emails
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Import
Date of Registration
*
Date
form field Date of Registration
must be in the format: MM/dd/yyyy
Special Needs Diagnosis
*
Name of Subject
*
Nickname
Address
*
Date of Birth
*
Date
form field Date of Birth
must be in the format: MM/dd/yyyy
Home Phone Number
Phone
form field Home Phone Number
must be in the format: (000) 000-0000
Cell Phone Number
Phone
form field Cell Phone Number
must be in the format: (000) 000-0000
Scars or Identifying Marks
Medical Conditions
*
Sex
Race
Height
Weight
Eye Color
Hair Color
Guardian
*
Address of Caregiver
*
Phone Number
*
Phone
form field Phone Number
must be in the format: (000) 000-0000
Email Address
*
Email
form field Email Address
is not in correct form
Miscellaneous Information
Methods of Communication
*
Identification Worn
*
Dislikes, Triggers, Topics to Avoid
*
Likes and Conversation Starters
*
Inclination or Characteristics of Wandering Behavior
*
Favorite Attractions or Locations Where Person May be Found Missing
*
Photograph/Attachments
Form field Photograph/Attachments has
Invalid files.
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