Student "BLUE CARD" 2020-2021
ALL parents must submit their updated emergency contact information for each child using this form. The Principal must be notified in writing of any changes to information on this form.
Thank you.
Student Last Name *
Student First Name *
Class Number: *
Home Address *
Parent/Guardian Name (1) *
Parent/Guardian (1) Telephone number: *
Parent/Guardian (1) EMAIL address (that you check regularly) *
(1) Parent’s Preferred Language of Communication: *
Parent/Guardian Name (2)
Parent/Guardian (2) Telephone number:
Parent/Guardian (2) Email address (that you check regularly)
(2) Parent’s Preferred Language of Communication: *
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