Student Release/Emergency Card Updating - Pepin Academies 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the student’s name, date of birth, and gender. Ensure that you print firmly for clarity.
  3. Provide the mailing address and residence address if different. This is crucial for emergency contact purposes.
  4. Complete the parent or legal guardian information, including names, employers, and contact details. Make sure to circle the appropriate relationship to the student.
  5. List any individuals authorized to contact in case the parent cannot be reached. Include their relationship to the student and daytime phone numbers.
  6. Fill out health-related sections, detailing any current health problems or medications. This information is vital for emergency situations.
  7. Review all entered information for accuracy before signing at the bottom of the form as a confirmation of understanding.

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