Emergency Form

  • EMERGENCY FORM

  • ALTERNATE CONTACTS in case of emergency

    (These should be adults you trust, who your child knows well, able to communicate in English, available locally and who can be reached in an emergency to pick up your child from school and provide the needed care for your child.)

  • NAMETELEPHONE 
  • NAMETELEPHONE 
  • NAMEPHONEADDRESS 
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  • NAMEPHONEADDRESS 
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  • STUDENT MEDICAL TREATMENT PERMISSION

  • PARENT SIGNATURE

  • STUDENT PICTURE RELEASE

  • PARENT SIGNATURE