2017-18 Church School Emergency Form

2017-18 Church School Emergency Form

Student Emergency Form Form Preview
  • 2017-18 St. Nicholas Church School Emergency Form

    Please complete ONE form for EACH registered child.
    • Child Information  
    • Emergency Contacts  
    • Please list everyone we can call in case of an emergency or school closing. Note: if a parent/guardian is not available, we will call the next person on the list until someone is contacted.
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    • Medical Information  
    • This Information will only be shared with appropriate school staff.


    • If the designated parties are not available, I understand appropriate emergency care deemed advisable by St. Nicholas school authorities or St. Nicholas youth advisors will be sought. Any special decisions appropriate to my child have been checked.
    • Medical Providers  
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    • Submit Form  
    • By clicking the "Submit" button below you acknowledge that

      1. You are a parent of the above child
      2. The information provided in this form is true and accurate.

      Thank you for registering your childern for Church School!

    • Should be Empty: