EMERGENCY CONTACT AND MEDICAL INFORMATION
We want our students to have a happy and enriching experience at the LASC. Please provide us with any information that could assist in attaining this goal. This information is confidential and will only be shared with staff members involved directly with the student. Please submit this form prior to the first day of class. Emergency contact forms are good for one year starting at the beginning of each summer. If you have already submitted a form, and there are no changes, there is no need to submit a new on.
Please fill out the form below and click submit. If you would prefer, you can click the images at the bottom of the page to open (or download) the PDF version of the Emergency Contact Form. You can then print the form, fill it out, and return to the Living Arts & Science Center.
You must have Adobe Acrobat Reader on your computer to open the forms.