Child's Information

Whom does the child reside with?

Child's Physician

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.

Thanks for submitting!