Family Emergency Information
Family Last Name
Family Sycamore ID (example-MHS1017) used to login to Sycamore account
Mother's First & Last name
Father's First & Last name
Mother Email
Father Email
Primary Address
City
State
Zip Code
Secondary Address (indicate which parent if parents do not live together)
Mother Cell Phone Number
Father Cell Phone Number
Alternate Contact(s) Phone Number(s) *Will only be contacted if parents cannot be reached
Do parents live together?
Is there anyone who by court order or decree is designated as the primary or sole custodial parent?
*If parents are divorced, please provide the school with part of divorce decree relating to custody and release of information
Is there anyone who by court order or decree is restrained from picking up the children?
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