CHURTON PARK SCHOOL
PERSONAL PROFILE AND ACCIDENT & EMERGENCY
UPDATE FORM
PLEASE RETURN TO THE SCHOOL OFFICE BY Wednesday 30th June
Family Name: _________________________________________
Name of Child/Children at school:______________________________________
Home Address: _________________________________________
Home Phone No: _________________________________________
Fathers Work Phone No: _________________________________________
Fathers Cell Phone No: _________________________________________
Mothers Work Phone No: _________________________________________
Mothers Cell Phone No: _________________________________________
CIVIL EMERGENCY
In the event of Churton Park being declared part of a Civil Defence Emergency the childrenwill be retained at school until collected by a responsible adult.
Please list below up to three adults (other than yourselves) authorised to collect your children:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________