
BACKPACK EMERGENCY CARD Child’s Name: Date of Birth: Home Phone: Cell Phone: School Name: School Phone Number: Special needs, medical conditions, allergies, important information: DIAL 911 FOR EMERGENCIES Parent/Guardian/Caregiver Name: E-mail: Cell Phone: Alternate Phone: Text Okay: Yes □ No □ Employer: Name: E-mail: Cell Phone: Alternate Phone: Text Okay: Yes □ No □ Employer: Out of Town Contact Name: E-mail: Cell Phone: Alternate Phone: DIAL 911 FOR EMERGENCIES
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