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:___________