2022-2023 FSAS Emergency Contact                2022-2023 FSAS Contacto de Emergencia
Please list contacts in the order that they should be reached. (Por favor lista contacto en orden que deben ser llamando.)
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Email *
Student First & Last Name (Nombre Estudiante) *
Grade / Grado *
Address (Direcion) *
#1 Name of Parent/Guardian (Nombre de Padre) *
#1 Relationship to Student (Relacion) *
#1 Language(s) Spoken (Idioma(s) hablados) *
#1 Phone Number (Número de teléfono) *
#1 Email address (Correo Electronico) *
#2 Emergency Contact (Contacto de emergencia) *
#2 Relationship to Student (Relacion) *
#2 Language(s) Spoken (Idioma(s) hablados) *
#2 Phone Number (Número de teléfono) *
#2 Email address (Correo Electronico) *
#3 Emergency Contact (Contacto de emergencia)
#3 Relationship to Student (Relacion)
#3 Language(s) Spoken (Idioma(s) hablados)
#3 Phone Number (Número de teléfono)
#3 Email address (Correo Electronico)
#4 Emergency Contact (Contacto de emergencia)
#4 Relationship to Student (Relacion)
#4 Language(s) Spoken (Idioma(s) hablados)
#4 Phone Number (Número de teléfono)
#4 Email address (Correo Electronico)
Please list names of any siblings and what school they attend. (Por favor indique los nombres de los hermanos y la escuela a la que asisten).
🛑  PLEASE GO BACK AND MAKE SURE THAT ALL PHONE NUMBERS AND EMAIL ADDRESSES ARE CORRECT.  🛑 POR FAVOR REVISE LA INFORMACÍON ANTES DE ENTREGAR. *
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