Contact Card Form Family Name * Home Address * City, State Zip Code * Home Phone Number * Name of Father * Father's Cell Phone Number * Father's Place of Employment * Father's Work Phone Number * Name of Mother * Mother's Cell Phone Number * Mother's Place of Employment * Mother's Work Phone Number * School Communication Email * Name of First Child * First Last Grade Level of First Child * Date of Birth of First Child * Name of Second Child First Last Grade Level of Second Child Date of Birth of Second Child Name of Third Child First Last Grade Level of Third Child Date of Birth of Third Child Name of Fourth Child First Last Grade Level of Fourth Child Date of Birth of Fourth Child Contact this person first in case of an emergency * Relationship of this person to child(ren) * Choose Home, Cell, or Work Number as method to contact this person. * Include a phone number if not previously given. Contact this person second in case of an emergency * Relationship of this person to child(ren) * Choose Home, Cell, or Work Number as method to contact this person. * Include a phone number if not previously given. Contact this person third in case of an emergency * Relationship of this person to child(ren) * Choose Home, Cell, or Work Number as method to contact this person. * Include a phone number if not previously given. Today's Date * Signature of Parent/Guardian (Print Name Here) *