EMERGENCY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION
Include at least two different emergency contacts. Also provide the home and cell phone numbers for each.
1. List Emergency Contact Person's Name*
Home Phone Number*
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
Cell Number*
Please enter a valid phone number.
Relationship*
2. List Emergency Contact Person's Name, Home Number, and Work Number.*
Home Phone Number*
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
Cell Number*
Please enter a valid phone number.
3. List Emergency Contact Person's Name, Home Number, and Work Number.*
Relationship*
Home Phone Number*
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
Cell Number*
Please enter a valid phone number.
Relationship*
PERSONS AUTHORIZED TO PICK UP YOUR CHILD/CHILDREN
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
All families are required to pay tuition through F.A.C.T.S. Tuition Management Co. unless tuition payments are made annually or semi-annually.

View Your Child’s World is MANDATORY for all new parents. Successful completion of the program is required for enrollment in Resurrection Catholic School.

I attest that the information on this application is correct. I assume responsibility for notifying the school's office of any changes. I agree to abide by Resurrection Catholic School’s policies with regard to governance of Resurrection Catholic School. I understand that non-compliance may result in my child’s inability to continue as a student in Resurrection Catholic School.
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