AUTHORIZATION FOR MEDICAL EMERGENCY

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By submitting this form, I authorize the school principal or teacher to take any necessary action to transport my child to the hospital emergency or family doctor in case there is a medical emergency and immediate contact is not possible with my spouse or me.

Health Card ID# *

Name of Family Doctor *

Doctor’s Phone # *

Parent/ Guardian *

Child's name *

Parent’s tel. # *

Parent's mobile # *

Αλλεργίες / Allergies

Προσοχή: Τα παιδιά να μη φέρνουν στο σχολείο τίποτα που περιέχει ξηρούς καρπούς καισουσάμιPlease note: Do not send any snacks to school containing nuts or sesame seeds!!!!

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