Emergency Contact, Social contract, & media release forms 2023-2024

All parents are required to fill the following forms online for the 2023-2024 school year:

Emergency Contact and Medical Form (fill out information for each child attending school)
Social Contract (one per family)
Media Release Form (one per family)

Please fill out these forms below in one sitting, which may take upwards to 10 minutes, as there is no “save” button once you have started.

Emergency Contact & Medical Form 2023-2024

Emergency Contact-- Financial Agreement--redirect to Social Contract--redirect to Media Release

1Parent/Guardian Info

2Emergency Contact Info

3Medical Allergies

Please fill out this form to share your child's emergency contact information. If you have more than one child, we assume that the individuals to contact in the case of an emergency will be the same for ALL of your children. The allergy/medical portion of this form should be completed for EACH CHILD you have enrolled at Northstar School.
Primary Parent/ Guardian Info
Please designate one parent as the primary contact.
PRIMARY Parent/ Guardian Name*
This parent should be contacted first in an emergency.
First Last
Primary Parent Cell Phone*
Primary Parent/ Guardian Home or Work Phone*
Primary Parent Email*
Home Address of Primary Parent/ Guardian*
Street Address City State ZIP Code
Secondary Parent/ Guardian
SECONDARY Parent/ Guardian Name*
This parent should be contacted second in an emergency.
First Last
Secondary Parent Cell Phone*
Secondary Parent/ Guardian Home or Work Phone
Secondary Parent/ Guardian Email
Is the address of the secondary parent/guardian the same as the primary parent/guardian?*
- Yes
- No
Secondary Parent/ Guardian Address
Street Address City State ZIP Code

Emergency Contact #1
Please list two emergency contacts other than the parents/guardians.
Emergency Contact #1 Name*
First Last
Emergency Contact #1 Cell Phone*
Emergency Contact #1 Address*
Street Address City State ZIP Code
Emergency Contact #2
Emergency Contact #2 Name*
First Last
Emergency Contact #2 Cell Phone*
Emergency Contact #2 Address*
Street Address City State ZIP Code

We hope an accident at school never happens, but in case it does, we will do our best to be prepared. Please fill out the information on the Emergency Contact Form very carefully to avoid typos.

Emergency Contact, Social contract, & media release forms 2023-2024

Emergency Contact & Medical Form 2023-2024

Primary Parent/ Guardian Info

Secondary Parent/ Guardian

Emergency Contact #1

Emergency Contact #2

Medical Information

Student #1 Medical Information

Student #2 Medical Information

Student #3 Medical Information

Student #4 Medical Information