EMERGENCY INFORMATION FORM Name - Crescent Academy Preview on Page 1

EMERGENCY INFORMATION FORM Name - Crescent Academy 2026

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  1. Click ‘Get Form’ to open the EMERGENCY INFORMATION FORM in the editor.
  2. Begin by entering your child's name in the designated field at the top of the form. Next, fill in their grade, sex, and birth date to provide essential identification details.
  3. Complete the address section by filling in your home address, city, state, and zip code. Ensure that all contact numbers including home phone, business phone, cellular phone, and pager are accurately entered.
  4. Provide your email address for further communication. Then, enter the names of both parents or guardians in their respective fields.
  5. Indicate whether your child has siblings at Crescent Academy by circling 'Yes' or 'No'. If applicable, write down their names and grades.
  6. In the health information section, check 'Yes' or 'No' for any relevant health conditions and provide comments if necessary.
  7. Fill out the emergency information by providing your physician's name and address along with their office phone number.
  8. List individuals authorized to release your child from school along with their contact numbers.
  9. Finally, read through the emergency care agreement and sign it along with the date before submitting the form.

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