Fall 2020: EMERGENCY CONTACT INFORMATION/ INFORMACIÓN DE CONTACTO DE EMERGENCIA

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Dear Parents/Guardians,

The Emergency Contact Information form is required in the case of emergencies and/or communication is necessary between instructor and/or Baldy View ROP administrators and students/parents.

Se requiere el formulario de Información de contacto de emergencia en caso de emergencias y / o la comunicación es necesaria entre el instructor y / o los administradores de Baldy View ROP y los estudiantes / padres.

All information will remain confidential. Toda la información será confidencial.

Email *

Student Name/ Nombre del Estudiante *

Student Date of Birth/ Fecha de nacimiento del estudiante: *

YYYY

Home High School/ Escuela *

Do you have any of the following additional learning plans? *

Gifted and Talented Education (GATE)

Special Education Individualized Education Plan (IEP)

Section 504 Plan

English Language Learner Plan (ELL)

None of the Above

Other:

Required

Grade/ Grado *

Instructor’s Name/ Maestro(A) Asignado(A): *

Student Email/ Correo Electrónico de Del Estudiante *

Phone Number to Call Student/ Numero de TeléfonoPara Llamar Al Estudiante: *

Phone Number to Text Student / Número de Teléfono Para Enviar Mensajes De Texto Al Estudiante: *

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