ISP HS Student EMERGENCY Info
This form is for us to maintain a record that will be accessible to all field trip chaperones and teachers regarding your child's medical information and emergency contacts. You will still be required to sign a release for each trip, however, you will only need to fill out the information in this form once (unless it changes).
Name of Student *
Your answer
Student cell phone/Whatsapp
Your answer
Student's Cedula/Carnet or Passport: *
Your answer
Name of Parent/Guardian #1 *
Your answer
Parent/Guardian #1 Email Contact *
Your answer
Parent/Guardian #1 Phone Contact *
Your answer
Name of Parent/Guardian #2
Your answer
Parent/Guardian #2 Email Contact:
Your answer
Parent Guardian # 2 Phone Contact
Your answer
Expected Graduation Year *
Required
Dietary Restrictions
Does your child suffer from any allergies? *
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