West Cobb Prep Academy
Vehicle Emergency Transportation Information
*Please note that forms downloaded have to be turned in either via email or in-person

Child's Information

Mother's Information

Father's Information

Whom does the child reside with?

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Person to notify in an emergency and parents cannot be reached:

Child's Physician

Child's allergies

Child's prescribed medications

Child's special needs or medical conditions

The medical facility the school uses is Cobb General Hospital.


In the event of an emergency and the parents cannot be reached, I hereby authorize any needed medical care and transportation of my child to a medical facility or evacuation location in the event the building must be evacuated. I further agree to be responsible for all medical expenses incurred during treatment of my child.

Parent / Guardian Signature

Witnessed by

© 2014 West Cobb Prep Academy

Windy Hill Campus

270 Windy Hill Road

Marietta, GA 30060

TEL: 770 435-5720  

FAX: 770 257-0195

info@westcobbprep.com

From our family to yours we invite you to 

experience West Cobb Prep Academy.

Educating today's CHILDREN for tomorrow's world!