Emergency Contacts Form

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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:__ _________

Transcript of Emergency Contacts Form

Page 1: 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:___________