Emergency Contacts Form
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Transcript of Emergency Contacts Form
Emergency Contacts
Primary Contact: _____________________________________________Relationship: Parent Custodial Guardian
Primary Phone Number(s): ______________________________________
Secondary Contact:____________________________________________(In case Primary Contact cannot be reached)
Secondary Contact Phone Number(s): _________________________________
Cell Phone/Secondary Phone:__________________________________
In the event that the parent/guardian cannot pick up your child, please provide a list of people that you give permission to pick up your child:
________________________________________Relationship:___________
________________________________________Relationship:___________
________________________________________Relationship:___________
________________________________________Relationship:___________
________________________________________Relationship:___________