Student Contacts - Plainville, USD 270
Please provide at least two, and up to six guardian and emergency contacts, in order of priority contact.
Please list all students in your household with the IDENTICAL contact information.
If you have students with different contact information, please complete a separate form.
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Email *
First & Last Name and Grade of each student with these IDENTICAL contacts  (Example:  John Smith - 10th, Mary Smith - 6th) *
CONTACT #1 - PARENT/GUARDIAN FULL NAME *
Relationship to Student *
Phone Number(s) & Type (home, cell, work) *
Check all that apply for this contact: *
Required
Email Address (Emails are used as a form of contact and school communication.) *
Address - street, city, state, zip *
Employer
CONTACT #2 FULL NAME *
Relationship to Student *
Phone Number(s) & Type (home, cell, work) *
Check all that apply for this contact: *
Required
Email Address (not needed for Emergency Contact)
Address - street, city, state, zip (not needed for Emergency Contact)
Employer (not needed for Emergency Contact)
CONTACT#3 FULL NAME
Relationship to Student
Phone Number(s) & Type (home, cell, work)
Check all that apply for this contact:
Email Address (not needed for Emergency Contact)
Address - street, city, state, zip (not needed for Emergency Contact)
Employer (not needed for Emergency Contact)
CONTACT #4 FULL NAME
Relationship to Student
Phone Number(s) & Type (home, cell, work)
Check all that apply for this contact:
Email Address (not needed for Emergency Contact)
Address - street, city, state, zip (not needed for Emergency Contact)
Employer (not needed for Emergency Contact)
CONTACT #5 FULL NAME
Relationship to Student
Phone Number(s) & Type (home, cell, work)
Check all that apply for this contact:
Email Address (not needed for Emergency Contact)
Address - street, city, state, zip (not needed for Emergency Contact)
Employer (not needed for Emergency Contact)
CONTACT #6 FULL NAME
Relationship to Student
Phone Number(s) & Type (home, cell, work)
Check all that apply for this contact:
Email Address (not needed for Emergency Contact)
Address - street, city, state, zip (not needed for Emergency Contact)
Employer (not needed for Emergency Contact)
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