Child Health Report and Emergency Contact Forms

1. Please have your child’s health care provider complete and sign the health report.  Click here for a copy of the health report.

2. Please complete and submit the form below by August 1, 2020

ECDC Emergency Contact/Parental Consent 2020-2021

  • Select + to add another row.
    NameTelephone Number When Child is in Care 
    Add a new row
  • Select + to add another row.
    NameStreet AddressZip CodeTelephone Number When Child is in Care 
    Add a new row
  • Parent Signature is Required for Each Item Below to Indicate Parental Consent

  • Additional Information

  • Use the space below to provide further information.
  • Remini is a school/family app with a secure communications platform. Remini will be used to share school experiences and to provide specific information, including weather and emergency alerts. Please see our handbook for more information.