Abraham Lincoln Elementary Digital Emergency Contact Information Form
Please fill out this form as completely as possible so we can update our records.
Email *
Student Last Name *
Student First Name *
Student Middle Name
Date of Birth *
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DD
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Street Address, Including Apt# if applicable. *
Zip Code *
Parent/Guardian #1 Last Name *
Parent/Guardian #1 First Name *
Does this parent live in the household with child? *
Parent/Guardian #1 Street Address *
Parent/Guardian #1 City *
Parent/Guardian #1 Zip Code *
Parent/Guardian #1 Primary Phone Number *
Parent/Guardian #1 Cell Phone Number *
Parent/Guardian #1 Work Phone
Parent/Guardian #1 Email Address
Parent/Guardian #2 Last Name
Parent/Guardian #2 First Name
Does this parent live in the household with child? *
Parent/Guardian #2 Street Address
Parent/Guardian #2 City *
Parent/Guardian #2 Zip Code
Parent/Guardian #2 Primary Phone Number
Parent/Guardian #2 Cell Phone
Parent/Guardian #2 Work Phone
Parent/Guardian #2 Email Address
List names of other children attending this school:
If parents are divorced or separated, to whom has physical custody been given? (please email updated verification to tracyhi@scusd.edu)
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