Ask the parents to fill out this form before leaving
Fire:________________________________________________________
Police:______________________________________________________
Poison Control:________________________________________________
Doctor’’s Name and Phone Number: ________________________________
Where Parents Can Be Reached: __________________________________
Children’’s Family Name:_________________________________________
Children’’s Address: ____________________________________________
Town:_______________________________________________________
Phone Number:_________________________________________________
Neighbors’’ Name: _______________________________________________
Location of Neighbor’’s Home: _________________________________________
(Parents should check that the neighbor is home)
Other Instructions: ___________________________________________________ _________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________