EMERGENCY INFORMATION

TRURO CENTRAL SCHOOL 317 RTE 6, POB 2029 TRURO, MA 02666

Phone: 508-487-1558 Fax: 508-487-4289
Stephanie Costigan Eric Shannon

Superintendent Principal
To Parents of School Pupils:

In the event of an emergency we must be able to contact a parent or designated person(s) who can/will assume responsibility for the child if the parent cannot be contacted. Please note that in the event of an emergency we will make calls in the order of the persons/numbers listed until we reach a “live” person. Also, we will be instituting a new text/text to voice mail system in the fall. Please indicate what numbers you would like these messages to go to. Therefore, it is imperative that you fill out this form completely and accurately.

Sincerely, Eric Shannon Principal
Student’s Name:*
Student’s Name:
Student’s Name:
Mailing Address:*
Residential Address:*
Grade:*
Grade:
Grade:
Email Parent #1:*
example@example.com
Email Parent #2:
example@example.com
Text/Text to voice mail: Phone #1*
Text/ Text to voice mail: Phone #2
Please list in order how you would prefer the calls be made.
Parent #1*
Cell Phone:*
Work Phone:
Parent #2
Cell Phone:
Work Phone:
List two (2) people who will assume temporary care of your child and may transport them, if you cannot be reached.
Name #1:*
Address #1:*
Relationship #1:*
Cell Phone #1:*
Home Phone #1:
Work Phone #1:
Name #2:
Address #2:
Relationship #2:
Cell Phone #2:
Home Phone #2:
Work Phone #2:
Truro Central School is an Affirmative Action Employer and we are committed to ensuring that all of our programs and facilities are accessible to all members of the public. We do not discriminate on the basis of age, color, gender, disability, national origin, race, religion, sex or sexual orientation.
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TRURO CENTRAL SCHOOL 317 RTE 6, POB 2029 TRURO, MA 02666

Stephanie Costigan Eric Shannon