We are looking forward to seeing you in Malama this year! Please update emergency contact information

Malama 21st Update Student Profile: 2021-2022

Update Emergency Contact, Allergies, Medications, etc. for any Malama 21st Student.

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Cayen Number

Student Name(Required)

First Last

Date of Birth(Required)

Allergies(Required)

Please list all, or write " None "

Medications(Required)

Please list all, or write "None"

Second Parent/Guardian(Required)

The primary parent enrolled the child. Is there another parent/guardian we should add to the child's record?

Yes

Second Parent/Guardian Name

First Last

Second Parent/Guardian

First and Last Name

Second Parent's Email

Emergency Contact 1(Required)

Name and Phone Number and Text Number if different

Emergency Contact 2(Required)

Name and Phone Number

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old transp

Student has permission to:

Dismissal at end of day(Required)

Be Picked up from School

Walk Home from School

Return to A+

Authorized Adult 1(Required)

Authorized Adult 2

Authorized Adult 3

Anything else we should know?

I have already signed the Parent Agreement(Required)

The form is online at https://thepaf.org/troublesigning if you need to sign for your student. 🙂 Our COVID protocols are posted at https://thepaf.org/covid Please check often!

Yes

I'm not sure...

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