Student Records

Emergency Contact

Health Information

It is understood that in the final disposition of an emergency case, the judgment of the school will prevail. Your recommendation as indicated on this form will be respected as closely as possible.

I understand that the ALC must have current immunization records at all times. Upon completing this form, I will provide the ALC with up-to-date immunization records or a letter of religious exemption.

Universal Outings Permission

As an authorized Parent or Legal Guardian, I understand that there will frequently be school related field trips supervised by a combination of staff, parents and adult volunteers, and grant permission for the Student named in this form to accompany their schoolmates on such supervised outings. In addition, I grant permission for unsupervised outings as initialed or specified below for the duration of this current school year.

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