This information will be extremely important in the event of an accident or medical emergency.
Please fill out the SRDS Emergency Medical Form in full, sign and date where indicated.
The information on this form may be shared confidentially with school staff and emergency responders as needed. In the event of medical emergency with my child, I understand every effort will be made to inform me. If emergency care is needed, I authorize qualified professionals to provide assessment, diagnosis and may necessary emergency treatment. I understand that the SRD school assumes no financial liability for expenses incurred due to accident, injury and/or unforeseen circumstance.