EMERGENCY CONTACT LIST

S.A.L.L.I.'S MISSION SUMMER CAMP Please Preregister EMERGENCY CONTACT LIST Small Scholar Handbook Interest in Financial Aid AFTER SCHOOL TUTORING AVAILABLE Tutoring Rachel Slaughter's Bio S.A.L.L.I. Application SALLI Students Instructor and Volunteer Application S.A.L.L.I. in PHOTOS Consider a Free Will Donation S.A.L.L.I. PHOTO ALBUM



Salt and Light Learning InstituteEmergency Contact ListDirections: Please list four people that we can contact in the event of an emergency or unforeseen circumstance. These people may potentially pick up your child if your pick up person is unavailable. Anyone (who is not designated as the pick up person) picking up a child must have photo identification, and sign a form of release. The identification may be photo copied for the parent’s review.Emergency Contact #1:  Name:__________________________________ Relationship to child:________________________Address:__________________________________________________________________________Home Phone:___________________Cell:___________________ Work:_______________________Vehicle Identification (Make/Model):________________________ License#:___________________Emergency Contact #2:  Name:__________________________________ Relationship to child:________________________Address:__________________________________________________________________________Home Phone:___________________Cell:___________________ Work:_______________________Vehicle Identification (Make/Model):________________________ License#:___________________Emergency Contact #3:  Name:__________________________________ Relationship to child:________________________Address:__________________________________________________________________________Home Phone:___________________Cell:___________________ Work:_______________________Vehicle Identification (Make/Model):________________________ License#:___________________Emergency Contact #4:  Name:__________________________________ Relationship to child:________________________Address:__________________________________________________________________________Home Phone:___________________Cell:___________________ Work:_______________________Vehicle Identification (Make/Model):________________________ License#:___________________Please see Handbook section: UNFORESEEN CIRCUMSTANCES INCLUDING INCLEMENT WEATHER