In the event the parent/guardian cannot be reached, please list the names and daytime phone numbers of persons who are permitted to pick up your child and give temporary care for your child. Your child will not be released to any person not listed below nor will they be dismissed froms school at any time without parent permission. This includes 18 year olds or older living at the household. Please list step parents, relatives, friends or neighbors who are available during the hours of 7:00 AM - 4:00 PM. Please notify the school immediately in writing of any changes or modifications to information stated in this form.
Emergency Contact Information