Emergency Contacts:  In addition to the parents, please list persons whom we may contact in the event of an emergency.
Authorized Pickups: In addition to the parents, please indicate persons authorized to pick up this student.

Authorized Pickup and Emergency Contacts For Student:

Contact 1

Authorized Pickup?
Emergency Contact?
Are there any additional details we should know about this contact?

Contact 2

Authorized Pickup?
Emergency Contact?
Are there any additional details we should know about this contact?

Contact 3

Authorized Pickup?
Emergency Contact?
Are there any additional details we should know about this contact?
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