Please complete the following information about your household

  1. Head of Household Information
  2. Secondary Guardian Information
  3. Emergency Contact Information
  4. What are Emergency Contacts?

    Two people (other than parents) we can contact and/or release your child to in an emergency if parents cannot be reached.6042

  5.   Name of Emergency Contact (First)Name of Emergency Contact (Last)Contact Phone w/ area codeContact Cell Phone w/ area codeContact Work Phone w/ area codeRelationship
    #1
    #2
  6.  
  7. Other Information
  8.  
  9.  
  10.  
After you click "Finish" you will be taken to the Family Member page to enter all family member information.
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