EMERGENCY CONTACT FORMTHIS FORM IS REQUIRED Please fill out this form to identify your child’s emergency contact Emergency Contact 1 Name * First Name Last Name Email * Phone * (###) ### #### Relationship to child * Is this person authorized to drop off/pick up your child? YES NO Emergency Contact 2 Name * First Name Last Name Email Phone (###) ### #### Relationship to child * Is this person authorized to pick up/drop off child? * YES NO Thank you for submitting the emergency contact form
