• Lancaster Vineyard Preschool 2026-2027 Emergency Contact Sheet

  • Child Information

  • Birthdate*
     - -
  • Gender*

  • Parent/Guardian Info 1

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Parent/Guardian Info 2

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contact 1/Authorized Pick-up Person

    Other than parents/guardians listed
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contact 2/Authorized Pick-up Person

    Other than parents/guardians listed
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Other Information

  • If there is a need to change your child due to an accident or any other reason, please send in a change of clothes.

  • Are there any family circumstances that the Lancaster Vineyard Preschool should be aware of to better care for your child?*
  • Does your child have any special health needs or medical history that we should know about?*
  • Does your child have any known allergies?*
  • Today's Date*
     / /
  • Should be Empty: