STUDENTS NAME: 

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I hereby grant permission for my child to use all of the play equipment and participate in all of the activities at Zarephath Christian

Academy.

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I hereby grant permission for my child to attend field trips planned throughout the school year as a motivational and educational supplement to the curriculum. (Parents will be informed of dates, times, destinations, and purposes of all field trips.).

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I hereby grant permission for my child to be included in evaluations, pictures and videos connected with the school program.

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I hereby grant permission for the Administrator to take whatever steps necessary to obtain emergency medical care if warranted.

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These steps may include, but are not limited to, the following:

1. Attempt to contact a parent or guardian.

2. Attempt to contact the child’s physician.

3. Attempt to contact the parents through any of the persons listed on the emergency information form provided by parents at registration).

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4. If we cannot contact parents, guardians, or child’s physician, the following actions will be taken:

a. Call another physician or paramedics;

b. Call an ambulance;

c. Have the child taken to an emergency hospital in the company of a staff member.

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5. Any expenses incurred under item 4 will be the responsibility of the child’s family.

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6. The school will not be responsible for anything that may happen as a result of false information or lack of information given at the time of enrollment.

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7. The school will not assume responsibility for a child who has not been officially received or has been dismissed for the day.

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8. EMERGENCY CONTACTS

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Primary Emergency Contact

 

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Secondary Emergency Contact

 

 

 

 

 

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Additional Emergency Contact

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HEALTH INFORMATION

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