Emergency ContactsPrimary Contact: _____________________________________________Relationship:   Parent    Custodial GuardianPrimary Phone Number(s): ______________________________________Secondary Contact:____________________________________________(In case Primary Contact cannot be reached)Secondary Contact Phone Number(s): _________________________________Cell Phone/Secondary Phone:__________________________________In the event that the parent/guardian cannot pick up your child, please provide a list of people that you give permission to pick up your child:________________________________________Relationship:___________________________________________________Relationship:___________________________________________________Relationship:___________________________________________________Relationship:___________________________________________________Relationship:___________

Emergency Contacts Form

  • 1.
    Emergency ContactsPrimary Contact:_____________________________________________Relationship: Parent Custodial GuardianPrimary Phone Number(s): ______________________________________Secondary Contact:____________________________________________(In case Primary Contact cannot be reached)Secondary Contact Phone Number(s): _________________________________Cell Phone/Secondary Phone:__________________________________In the event that the parent/guardian cannot pick up your child, please provide a list of people that you give permission to pick up your child:________________________________________Relationship:___________________________________________________Relationship:___________________________________________________Relationship:___________________________________________________Relationship:___________________________________________________Relationship:___________