Fill out Nora's camp health form for me: name, birthday, address, both parents' phones and employers, emergency contacts, doctor, dentist, insurance, allergies, medications, last tetanus shot.
Question
Fill out Nora's camp health form for me: name, birthday, address, both parents' phones and employers, emergency contacts, doctor, dentist, insurance, allergies, medications, last tetanus shot.
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Supporting records
The records the answer rests on, from from, with whose they are.
Whose: Leah Brandvold (Me) (child)
| relation | child |
|---|---|
| first_name | Nora |
| middle_name | Elise |
| last_name | Adeyemi |
| date_of_birth | 2014-09-21 |
| gender | Female |
| school | larkspur-middle |
| phones | - number: '3805550172' variant: Mobile |
| emails | - email: nadeyemi32@larkspurms.example variant: Other |
File: photos/nora.jpg
Whose: Gunnar "Dad" Brandvold (parent), Karen "Mom" Brandvold (parent), Erik Brandvold (sibling), Maren Halvorsen (sibling), Solveig "Mormor" Lindqvist (grandparent), Yetunde "Mama" Adeyemi (family_member), Folake Balogun (relative), Tunde Adeyemi (relative), Dana Whitlock (friend), Hal Brewster (friend), Linh Pham (friend), Beth Okonkwo (friend), Kavitha Raman (friend), Jess Marchetti (friend), Kwame Asante (friend), Carmen Ibarra (career_contact), Vivian Castellanos (career_contact), Darnell "Coach Tibbs" Tibbs (general_contact), Marisa "Mrs. Okuda" Okuda (general_contact), Colin "Mr. Brennan" Brennan (general_contact), Imani "Dr. Fairweather" Fairweather (service_provider), Priyanka "Dr. Vasudevan" Vasudevan (service_provider), Joel Strand (service_provider), Anand "Dr. V (allergist)" Venkataraman (service_provider), Hannah Osei (service_provider), Joanne Tillery (service_provider), Paloma "Otter Creek vet" Quintero (service_provider), Ray Dombrowski (service_provider), Dale Hrabowski (service_provider), Maddie Kowalczyk (service_provider), Ruth "Mrs. Abernathy" Abernathy (service_provider), Gordon Petrakis (advisor), Denise Trumbull (advisor), Marcus Adeyemi (spouse), Nora Adeyemi (child), Eli Adeyemi (child), Ivy Adeyemi (child), Biscuit (pet)
| first_name | Leah |
|---|---|
| middle_name | Marie |
| last_name | Brandvold |
| date_of_birth | 1985-06-14 |
| gender | Female |
| company | Tallgrass Members Credit Union |
| job_title | Operations Manager |
| phones | - number: '6145550137' variant: Mobile - number: '6145550190' variant: Work |
| emails | - email: leah.brandvold@postbox.example variant: Personal - email: lbrandvold@tallgrasscu.example variant: Work |
| addresses | - variant: Home street_address_1: 2714 Quillfeather Lane city: Westerville state: Ohio postal_code: '43081' - variant: Work street_address_1: 455 Granary Commons Drive city: Columbus state: Ohio postal_code: '43229' |
File: photos/leah.jpg
Whose: Leah Brandvold (Me) (spouse)
| relation | spouse |
|---|---|
| first_name | Marcus |
| middle_name | Dele |
| last_name | Adeyemi |
| date_of_birth | 1983-11-02 |
| gender | Male |
| company | Westerville Ridge High School |
| job_title | Physics Teacher |
| phones | - number: '6145550164' variant: Mobile - number: '6145550109' variant: Work |
| emails | - email: marcus.adeyemi@postbox.example variant: Personal - email: madeyemi@westervilleridge.example variant: Work |
| addresses | - variant: Home street_address_1: 2714 Quillfeather Lane city: Westerville state: Ohio postal_code: '43081' - variant: Work street_address_1: 900 Ridgeline School Road city: Westerville state: Ohio postal_code: '43082' |
File: photos/marcus.jpg
| about | - nora - eli - ivy |
|---|---|
| date | 2025-08-11 21:00 |
| body | emergency contacts for school / camp / sports forms. same answer every time: pa…emergency contacts for school / camp / sports forms. same answer every time: parents first - me (cell), Marcus (cell, then the school office) 1. Dana Whitlock - neighbor - 614-555-0166 2. for Nora: Beth Okonkwo - friend - 614-555-0185 for the twins: Linh Pham - neighbor - 380-555-0143 out of town: my mom, Karen Brandvold - 218-555-0127 allowed to pick up: Dana, Beth, Linh, Maddie Kowalczyk, Kwame Asante NOT Hal |
Whose: Leah Brandvold (Me) (friend)
| relation | friend |
|---|---|
| first_name | Dana |
| last_name | Whitlock |
| phones | - number: '6145550166' variant: Mobile |
| addresses | - variant: Home street_address_1: 2718 Quillfeather Lane city: Westerville state: Ohio postal_code: '43081' |
| comments | next door. has our spare key + the garage code |
Whose: Leah Brandvold (Me) (friend)
| relation | friend |
|---|---|
| first_name | Beth |
| last_name | Okonkwo |
| phones | - number: '6145550185' variant: Mobile |
Whose: Leah Brandvold (Me) (service_provider)
| relation | service_provider |
|---|---|
| first_name | Imani |
| last_name | Fairweather |
| display_name | Dr. Fairweather |
| company | Hoover Reservoir Pediatrics |
| job_title | Pediatrician |
| phones | - number: '6145550118' variant: Work - number: '6145550119' variant: Other |
| addresses | - variant: Work street_address_1: 580 Tussock Mill Road street_address_2: Suite 210 city: Westerville state: Ohio postal_code: '43082' |
| comments | 2nd number is the fax |
Whose: Leah Brandvold (Me) (service_provider)
| relation | service_provider |
|---|---|
| first_name | Priyanka |
| last_name | Vasudevan |
| display_name | Dr. Vasudevan |
| company | Blendon Woods Family Dentistry |
| job_title | Dentist |
| phones | - number: '6145550145' variant: Work |
Whose: Leah Brandvold (Me) (patient), Marcus Adeyemi (patient), Nora Adeyemi (patient), Eli Adeyemi (patient), Ivy Adeyemi (patient)
| carrier | corvane |
|---|---|
| patients | - me - marcus - nora - eli - ivy |
| subscriber_name | Marcus D Adeyemi |
| group_number | WR-204417 |
| identification_number | CVH830216447 |
| type | PPO |
| comments | through Marcus's school district |
Whose: Nora Adeyemi (patient)
| patient | nora |
|---|---|
| date | 2017-12-11 |
| comments | Nora - rash all over, day 8 of amoxicillin for the ear infection. pedi says amoxicillin allergy, it's in her chart now. NO penicillins. she got azithromycin instead and was fine |
Whose: Nora Adeyemi (patient)
| patient | nora |
|---|---|
| medication | Albuterol HFA inhaler |
| dosage | 90 mcg per puff |
| frequency | 2 puffs 15 min before swim practice, or every 4-6 hrs as needed |
| comments | w/ the spacer |
Whose: Nora Adeyemi (patient)
| patient | nora |
|---|---|
| date | 2025-08-14 |
| description | Tdap (school needs it for 7th grade) |