Emergency Contact Update

Please complete the emergency contact form prior to the start of the 2017-2018 school year. The below information will be filed in the nurses office, to be used in case of an emergency. If you prefer to complete a paper form, please download the form and return it to the front desk.

Emergency Contact Information

Family Information
Please complete this form for your child(ren). Forms will be kept in a secure file in the Nurse's Office.
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Emergency Contact Information
Relative (not parent), friend, or neighbor who may be contacted if a parent cannot be reached.
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Children's Information
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513 Montgomery Avenue, Merion Station, PA 19066 
t. 610-664-9847 
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