EMERGENCY CONTACT INFORMATION
Please list all the ways we can get in touch with you while your child is at school, and one other emergency contact that will be available. We must be able to reach one of the parents or emergency contact at all times. If you will be out of town, please let your child’s teacher and the office know who is to be contacted by writing a note or sending an email in advance of your departure.
Child’s Name _________________________________ Birthday____________________
School Year 20____ - 20____
MOM: Name:__________________________________
Cell____________________________________
Work_______________________________________
Home___________________________________________
Other#__________________________________________
Other#__________________________________________
DAD: Name: __________________________________
Cell_____________________________________
Work____________________________________
Home ___________________________
Other #______________________________________
Other#_____________________________________________
OTHER CONTACT:
Name________________________________ Relationship to child___________________________
Cell___________________
Home_________________
Work__________________
Other#____________________
