Emergency Information Form

Emergency Contacts

Please list the names of two nearby relatives or friends whom we can contact in case of an emergency if you cannot be reached.

Emergency Contact #1

Emergency Contact #2

Persons Authorized to Pick Up My Child(ren):

Please name any individuals authorized to pick up your child(ren) from school.

Holy Child Academy
475 Shadeland AvenueDrexel HillPA 19026

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