Emergency Information Form

attempt to contact a parent or guardian

attempt to contact the child's physician

attempt to contact parents through any of the listed emergency contacts

I understand, if neither my child's physician nor I can be contacted, that an ambulance service, if necessary, will transport my child to the hospital. A staff member will remain with my child at all times.

In addition, I grant permission for my child's name and allergies to be included on a school allergy list and posted in each classroom.

St. Mary's Episcopal School

Emergency Information Form

Please fill out the secure form below. If you have any questions, please contact us here.

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Emergency Information Form

Please fill out the secure form below. If you have any questions, please contact us here.

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