Sibling Information
We have allowed for information for up to 4 siblings for this child. If your child has more than 4 siblings, please use the space at the bottom of this form to complete this information. Please fill out Sibling fields applicable to your family and then skip to the Child Specifics Section of this form. Thank you.
Persons to Contact WHEN YOU CANNOT BE REACHED - (Must list at least one emergency contact with address)
Your child will be released only to you (PARENTS) or other persons designated by you. Parent or other designated persons bringing the child to class or picking him/her up should make sure that a staff member is aware of the child's arrival and departure. Please list persons to whom you want your child to be released OTHER THAN YOURSELF. We would use these numbers in the event that your child becomes ill or injured and needs to be picked up from school, AND WE CANNOT REACH YOU AT ANY OF THE NUMBERS YOU HAVE PROVIDED ABOVE. Individuals listed should be notified that they will be asked for identification before your child is released to them.
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GANG-FREE ZONE: Under the Texas Penal Code, any area within 1,000 feet of a child care center is a gang-free zone, where criminal offenses related to organized criminal activity are subject to harsher penalties.