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Parental/Emergency Contact Form
Parents, please take the time to complete this form.
* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Parent's or Guardian's Name
*
Your answer
Cell Phone Number
*
Your answer
Alternate Contact
Your answer
Alternate Contact's cell phone
Your answer
Contact Preference
*
Text
Call
Email
Required
Best Time to Contact
*
Morning
Afternoon
Evening
Send me a copy of my responses.
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