Clemmons Moravian Preschool 2017-18 Registration Form

PLEASE CHECK PROGRAM DESIRED. Please read the options carefully.
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    Emergency Information

    We realize that many parents cannot be reached by phone during school hours. Hopefully the need for emergency treatment will not be needed, but should an accident occur, parental permission is required before any medical attention can be given. We will always try to contact parents by phone first. If they cannot be reached, we will contact the child's doctor and any emergency contacts listed. The information below will help us give current and accurate information concerning your child to enable us to act quickly in case of an emergency. This form will also indicate who is authorized to pick up your child after school or in case of an illness. We will not release a child to anyone other than the parents or those indicated below without your permission. Thank you.
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