Please list up to two emergency contacts below (Ex: Betty Starke grandma (555) 555-5555, Ashley Litz friend (555) 222-2222) *
Your answer
Please your child's/children's doctor and phone number below, as well as which hospital you prefer in case of emergency(Ex: Dr. Grigery (573) 331-6750 Southeast Hospital) *
Your answer
Please list below who may pick up your child/children below along with their contact information (Ex: Stephanie Starke (423) 489-0073, Betty Starke (555) 555-5555). *