Emergency Contact Form

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 one.

Please download, fill out, and email back the form below.
Please send forms to info@lasclex.org

You must have Adobe Acrobat Reader on your computer to open the forms.

www.iiethai.org/web/profile_del.php