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Emergency Contact Information This year the District will be using an automated calling system to notify parents and staff members of important announcements. This system will allow for all parents in the district to be notified of emergency closings, student absences or delays in busing. We will also use this automated telephone system to place calls to notify parents of important school events. The system will allow for calls to be made to a primary and two alternate telephone numbers in the event of an emergency. An e-mail message can also be sent to your home or workplace during emergencies or to notify you of a special event. At this time we are collecting the data that each family needs for emergency contact and to notify them of special school events. Please fill out one form for each household. All information should be on this sheet regardless of your number of children or the school/s they attend. This form will be used for pre-kindergarten through grade 12. Please list the phone numbers in the order of preference; the first phone contact is the primary number and will be the first phone call made. In the event contact is not made by calling the primary number the automated phone system will call the next number in the order listed. When the form is completed, please send it to school with your oldest child. Parent/Guardian
Names: Mother: ____________________________________ Father:____________________________________ Guardian: ___________________________________ Email: ______________________________________
Child Name:
________________________________
School:: ___________________Grade:: _______ Child Name: Child Name: Child Name:
Emergency Contact 1 (Primary): Name:_____________________________________ Relation:: __________________________________ Phone number:
______________________________ Emergency Contact 2: Name:_____________________________________ Relation:: __________________________________ Phone number:
______________________________ EmergencyContact 3: Name:_____________________________________ Relation: __________________________________ Phone number:
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