If the child resides with a legal guardian, please indicate and provide all necessary documentation.
School abides by the most current documentation on file with the school.
Please list all children living in the household:
Regular school attendance is necessary for student success. Important work begins when the tardy bell rings. Checking a child out early is discouraged as the child will miss valuable instructional time. Please make every effort to schedule all appointments on days that school is not in session.
Please list all individuals you give permission to take your child from school, their relationship, and phone number. They will also be used for emergency contacts. No one under 18 will be allowed to take your child. As per LDOE Policy, a person who is listed on the sex offenders list cannot be named as an emergency contact, pick up a child from the program, or participate in any LDOE activity.
For your child’s safety, ONLY THE NAMES YOU HAVE LISTED will be honored unless you come to the school personally to make your change(s). Any request for changes must be made by the parent in person at the school. VERBAL OR TELEPHONE REQUESTS to add another person to the check-out list or to release a student from school WILL NOT BE HONORED.
NOTE: Parents who have physical custody of their child must provide the school with a copy of the court order which will be placed in the child’s cumulative folder. Only the most recent court order, provided by the parent to the school, will be honored. UNLESS otherwise indicated, BOTH father/mother will be allowed to visit the school and check student out.
Emergency Procedures will be followed in accordance with LDoE Handbook Policies and Procedures.
NOTE: Please be sure to notify the office of updated contact information.
You can upload photos of the vaccinations cards below OR email the image files to: firstname.lastname@example.org
If you have more than 10 images to upload, please email the additional images to: email@example.com
Include your name and identify each vaccination card's owner.