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ROCKING ACADEMY EMERGENCY INFORMATION Students Legal Name: Last First Middle Students home phone Male Female Students cell phone 12×13 Grade Mothers home phone Fathers cell phone Date of Birth Mothers
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How to Fill Out Rocklin Academy Emergency Information:

01
Visit the Rocklin Academy website or obtain a copy of the emergency information form from the school office.
02
Fill in the student's name, grade, and contact information at the top of the form.
03
Provide the student's primary contact information, including name, phone number, and email address.
04
Indicate any secondary contacts who should be reached in case of an emergency, such as another parent or guardian.
05
Mention any specific medical conditions or allergies the student has, along with any necessary medications or treatment plans.
06
Provide the student's healthcare provider's name and contact information.
07
Fill in the student's insurance information, including provider name and policy number.
08
Mention any authorized individuals who are allowed to pick up the student during an emergency or on regular school days.
09
Indicate the preferred mode of communication during emergencies, whether it be phone call, text message, or email.
10
Sign and date the form to confirm its completion and accuracy.

Who Needs Rocklin Academy Emergency Information:

01
Any student enrolled at Rocklin Academy should have their emergency information on file.
02
This includes students from all grade levels, from kindergarten to high school.
03
The emergency information is vital for the safety and well-being of the student in case of any unforeseen situations or emergencies that may arise during school hours.
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Rocklin academy emergency information includes contact details, medical information, and emergency contact information for students.
Parents or guardians of students attending Rocklin Academy are required to file emergency information.
Parents or guardians can fill out Rocklin Academy emergency information forms online or in person at the school.
The purpose of Rocklin Academy emergency information is to ensure the safety and well-being of students in case of emergencies.
Rocklin Academy emergency information must include student's name, address, phone number, medical conditions, allergies, emergency contacts, and any other relevant information.
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