Fillable It is important to have your emergency contact (Centers For Disease Control and Prevention)

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It is important to have your emergency contact (Centers For Disease Control and Prevention)

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BACKPACK EMERGENCY CARD
It is important to have your emergency contact information
with you in case of an emergency. Complete the cards
below and keep one in your wallet and one in your
child's backpack.
Cut Here
Fold Here
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
Cut Here
Fold Here
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
CS259306-D
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Completed 24 May 2022

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