Get Emergency Contact Form - Servite High School

This guide provides clear and concise instructions on filling out the Emergency Contact Form for Servite High School online. By following the steps outlined below, you can ensure that all necessary information is accurately submitted to help safeguard your student's well-being.

Follow the steps to successfully complete the Emergency Contact Form.

1. Press the ‘Get Form’ button to acquire the form and open it for editing.
2. Begin by entering the student's last name, then provide the street address, first name, and middle name, as well as the city and zip code.
3. Fill in the student's birth date and home phone number. Next, input the mother's name along with the graduation year.
4. List the winter and fall sports the student is participating in, and include any known drug allergies.
5. Indicate whether the student may participate in regular physical education activities. Note any health problems or previous injuries that the school should be aware of.
6. Provide the necessary insurance information, including the primary provider's name, address, and phone number, along with the subscriber policy and certificate/group numbers.
7. Sign and date the form as the parent or guardian, allowing for emergency treatment if necessary.
8. If needed, list individuals authorized to transport the student from events. Ensure these individuals are noted on the carpool form at the Main Office.
9. Both the student and the parent or guardian must sign below the CIF Southern Section Code of Ethics - Athletes and the Servite High School Concussion Information Sheet.
10. Once all fields are completed, save any changes, download the form, or print it for submission.

Complete the Emergency Contact Form online today to ensure your child's safety and readiness at Servite High School.