1st & 2nd Grade
Whom does the child reside with?
Person to notify in an emergency and parents cannot be reached:
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
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