IFN Sunday School EMERGENCY INFORMATION RECORD 2022-23

IFN Sunday School EMERGENCY INFORMATION RECORD

Parents are responsible for updating the information, if it changes, to ensure the safety and well being of the child. 


 


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Email *
Student’s Name (First and Last)
Date of Birth
MM
/
DD
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YYYY
Home address  
Telephone Numbers (Home/ Cell/Work)
Mother's Name and Phone Number ( Where we can reach during School Hours).
Father's Name and Phone Number ( Where we can reach during School Hours).

List 2 neighbors or nearby relatives who will assume temporary care of your child if you cannot be reached. Please include phone numbers


Student's Primary Physician’s Name/ address/ Phone Number/ Email address
Does  the student have any food or other allergies?

In case of an accident or serious illness, I request the school to contact me. If the school is unable to reach me, I hereby authorize the school to make whatever arrangements necessary.  (Please sign and date)


MM
/
DD
/
YYYY
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