Emergency Contact Form

Dear Parents

 

It is very important that we keep up to date details to be used in the event of an emergency.

 

As we need to keep our slips in class groups would you kindly complete one slip for each child attending this school. Please let us know if these details change.

 

Yours sincerely

 

 

 

 

MR J VINER

Headteacher

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DRAPERS MILLS PRIMARY SCHOOL

 

 

CHILD'S NAME ...........................……………………………..CLASS  …………………..

 

ADDRESS        ..........................…………………………………………………………….

 

………………………………………………………………POSTCODE ..………………….

 

TELEPHONE .....……………………............……..          MOBILE …………………………

 

MOTHER'S NAME ……………………………………………………………………………..

 

MOTHER’S WORKPLACE ........................…………………………………………………..

 

TELEPHONE  NO:    please include extension number ……………………………………………

 

FATHER'S NAME ………………………………………………………………………………………

 

FATHER’S WORKPLACE ........................…………………………………………………………….

 

TELEPHONE  NO: please include extension number ……………………………………………….

 

Name of nearby relative .......................…………………………

or neighbour to be contacted if parents

are unavailable.                       

 

TELEPHONE NO:……………………………