Emergency Information Sheet 2020-2021
Mayfair Laboratory School
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Student (Last Name, First) *
Student Grade *
Address *
Mother Information
Mother's Name
Mother's Cell Phone
Mother's Work Phone
Mother's Email Address
Father's Information
Father's Name
Father's Cell Phone
Father's Work Phone
Father's Email Address
Do you give permission to have your contact information shared in a Mayfair Laboratory School directory?
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Emergency Contact Information
#1 Name
#1 Cell Phone Number
#1 Work Phone Number
#1 Home Phone Number
#2 Name
#2 Cell Phone Number
#2 Work Phone Number
#2 Home Phone Number
Please indicate names of all persons who have your permission to pick up your child from school. Include neighbors, relatives, etc. *
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