Emergency Notifications Survey
If you did not receive all three of the notifications (email, phone message, text message) sent on September 11, 2019,
please fill out this form.
Student Last Name
Student First Name
Student Date of Birth
(for identification purposes)
Name of Parent Completing this Form
I did not receive an email
Did not receive email
My email address is
I did not receive an automated phone call
Did not receive phone call
My phone number is
This number is my
Would you like this phone number to be designated as the primary phone number for all future automated calls?
If you did not receive the text message but would like to going forward, click on the "Text Message Opt-In" link under the headline on your school's website.
My cell phone number is
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