The Wilson School - Out of Town Notification Form

THE WILSON SCHOOL
OUT OF TOWN NOTIFICATION FORM

Date
This is to notify The Wilson School that parent(s) of
in grade(s)
will be out of town from	to
My / our child(ren) will be in the care of
S/he may be contacted during the day at
And in the evening at
In an emergency (check one):
I / we may be contacted at
The above caregiver should be contacted and will get in touch with me / us.
Other instructions:

Signature of Parent/Guardian