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St. Charles Parent and Emergency Contact Information Form 2018-2019
Please enter your information following the requested format, Names, except for the student's should be entered, last name, first name and phone numbers should be entered using dashes 999-999-9999.
Student's #1 Last Name *
Your answer
Student's #1 First Name *
Your answer
Grade for 2018-2019 school year (Student #1) *
Student's #2 Last Name
Your answer
Student's #2 First Name
Your answer
Grade for 2018-2019 school year (Student #2)
Student's #3 Last Name
Your answer
Student's #3 First Name
Your answer
Grade for 2018-2019 school year (Student #3)
Student's #4 Last Name
Your answer
Student's #4 First Name
Your answer
Grade for 2018-2019 school year (Student #4)
Student's #5 Last Name
Your answer
Student's #5 First Name
Your answer
Grade for 2018-2019 school year (Student #5)
Father's Information
Father's Name
Please enter Last Name, First Name
Your answer
Father's Phone Number #1
Please enter in this format 999-999-9999
Your answer
Father's Phone type #1
Phone type for emergency contact.
Father's Phone Number #2
Please enter in this format 999-999-9999
Your answer
Father's Phone type #2
Phone type for emergency contact.
Father's Email Address
Your answer
Father's Employer
Your answer
Mother's Information
Mother's Name
Please enter Last Name, First Name
Your answer
Mother's Phone Number #1
Please enter in this format 999-999-9999
Your answer
Mother's Phone type #1
Phone type for emergency contact.
Mother's Phone Number #2
Please enter in this format 999-999-9999
Your answer
Mother's Phone type #2
Phone type for emergency contact.
Mother's Email Address
Your answer
Mother's Employer
Your answer
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