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Emergency Information

Emergency Information

  • * = Required Information

  • Where parents can be reached if not at home?

  • List two neighbors or nearby relatives who will assume temporary care of your child in case you can not be reached.

  • Date : 12/16/2018
  • In case of accident or serious illness, I request the school to contact me, if the school is unable to reach me, I authorize the school to call the physician indicated below and to follow his instructions, if it is impossible to contact this physician, the school may make whatever arrangements seem necessary.
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