Dear Parents or Guardians:
We would like to know where you can be reached while your child is away. Will you please list below your addresses and telephone numbers (home, business, vacation) for the time involved: from the time your child leaves home to the date of his/ her arrival home. If you plan to be on vacation anytime during this period and know at this time where you will be, please give us the address and phone number there, too. If you will be unable to be reached quickly at any time, be sure to give us the name & number (both home & business) of 2 responsible adults for the period you cannot be reached. We would also like to have the name, address and telephone number of your family physician. If this information should change at any time, please drop us a note to up- date the information. If your travel plans are not known when this form is completed, please send us a note detailing your whereabouts for your child’s file. Thank you.