Prince William County Public Schools bEmergencyb Permission bFormb 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the student's name in the designated field at the top of the form.
3. Fill in the grade and name of the school where your child is enrolled.
4. Provide the home address, age, and birth date of your child in the respective fields.
5. Indicate any health problems that may be relevant for a physician during an emergency.
6. List any allergies to medications or other substances that are important for medical staff to know.
7. If applicable, indicate whether your child is currently taking medication and if they wear contact lenses.
8. Complete the emergency authorization section by providing your consent for medical treatment if you cannot be reached.
9. Enter your work phone number and provide an alternative emergency contact person's details.
10. Finally, sign and date the form as a parent or guardian, ensuring all information is accurate before submission.

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