Emergency Instructions

2017-2018

In the event a student is injured or for any other reason needs emergency attention, the following information is required:

Telephone numbers at which the parent(s) may be reached:

Father

Mother

If the school is unable to contact a parent at these numbers, please provide the name and contact information of someone willing to represent you and your children.
If you have a preference for a doctor or hospital, please specify below:
In an emergency, I authorize school authorities to take any steps necessary to administer medical treatment to my child(ren) in the event one of my child(ren)’s parents or other contacts specified above are not available at the time.