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Extended Contact Details Emergency Contact Form

Extended Contact Details Emergency Contact Form

Student Name

First
Last
Primary
Instructions to access PowerSchool and student information. Click Here
Address *
Address
City
State/Province
Zip/Postal
Country

Parent/Guardian

First
Last
Primary
Primary
Mailing Address
Street Address
Apartment/Building/Suite #
City
State/Province
Zip/Postal
Country
Preferred Contact Method *

In the event of an emergency please also inform the following

First
Last
Primary
Primary

The following people may pick up my child from school

First
Last
Primary

I received and will read my child's Student-Parent Handbook and will help them obey the rules and regulations described within.

*