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Farm & Forest School Forms - Parent Communication

Forms – Parent Communication

Parent Communication Form

Please complete this form to let us know how to contact you. Please complete one form per child you are enrolling.

Name (Child)*
First Last
Please indicate the names & phone numbers of parents / guardians and others:
Primary Contact:
Name (Parent/Gardian) - primary*
First Last
Relationship*
Email (parent/gardian) - primary*
Cell Phone*
Secondary Contact:
Name (Parent/Gardian) - secondary
First Last
Relationship
Email (parent/gardian) - secondary
Cell Phone
Additional / Emergency Contacts (please provide two):
Contact #1
Name (Emerg #1)*
First Last
Relationship*
Email*
Cell Phone*
Contact #2
Name (Emerg #2)*
First Last
Relationship*
Email*
Cell Phone*
Communication Choice
We may be using the Remind phone application to send parents updates about pick up/drop off changes and severe weather warnings. Please select one of the following options:*
- I wish to receive Remind updates to the cell phone number of the primary contact
- I DO NOT wish to receive Remind updates to the cell phone number of the primary contact
I am interested in creating a carpool for my child. I understand for the safety of the families involved that any children in a carpool will also be in the same pod.*
(by saying yes, you are agreeing to have Pearlstone share your contact information)
- Yes, I'm interested
- No Thank You
If yes, Please list names of children with whom you might like to carpool.*
(Like camp bunk requests, these must be requested by both families)

Pearlstone The Associated

5425 Mt. Gilead Rd., Reisterstown, MD 21136
410-500-5417 | info@pearlstonecenter.org
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