Skip to main content

Contact

Glory Lane
RN, BSN, PHN
(925) 258-6219

Amy Ciotola
RN
925-258-6408

Emergency Contact Form

Each elementary school student (TK through grade 8) needs to have an Emergency Form completed by his/her parent/guardian and kept on file at the school office. The Emergency Contact Form includes the following information:

  1. Parent's complete names, address, and home telephone number.
  2. Parent’s work telephone numbers and cell numbers.
  3. The name, address and telephone numbers of another adult who can be called in an emergency when a parent cannot be reached.
  4. Medical alert information.

Please keep this information updated throughout the year to assist us in helping your children!