Emergency Contact Form
This form is REQUIRED by every family (one per family) so that we may have the most up to date contact information. We also require that the Student Profile Form be filled out through Rediker. Please include contacts that may be available to pick up your child, if necessary. I realize this information is redundant; however, it is imperative that we have all of this information at our fingertips.
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Email *
Child #1 Name *
Child #1 Grade *
Child #2 Name
Child #2 Grade
Child #3 Name
Child #3 Grade
Child #4 Name
Child #4 Grade
Parent/Guardian #1 Name *
Parent Guardian #1 Cell Phone *
Parent/Guardian #2 Name
Parent/Guardian #2 Cell Phone
Emergency Contact #1 Name and Relation *
Emergency Contact #1 Phone *
Emergency Contact #2 Name and Relation *
Emergency Contact #2 Phone *
Emergency Contact #3 Name and Relation *
Emergency Contact #3 Phone *
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