LBHS Emergency Contact Information Form
This form needs to be completed for each of your students at the beginning of the school year. Parent/guardian must enter a valid email address to complete the form. Please have your student's emergency contacts and medical information on hand before you start completing the form.
Student Last Name
Student First Name
Student Middle Name
Date of Birth
List of names of siblings attending Luther Burbank High School (please include first and last name)
Never submit passwords through Google Forms.
This form was created inside of Sacramento City Unified School District.