Persons other than parents authorized to pick up child: Please fill out name and relationship to child.
Alberta Children’s Services requires an Emergency contact name, street address & phone number:
Please upload a photo of your child (face only) that clearly shows his/her face for identification purposes.
All fields under Health History are required. If there is nothing to report, just type N/A.
If so, you will need to complete a Severe Allergy Alert Form available from the school office and provide the school with emergency medication to be kept at school. Please watch expiry dates on products.