New Student Online Enrollment

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EMERGENCY CONTACTS

In the event of an emergency, Challenger will attempt to reach people in the order you input them below. Thereafter, we will contact other authorized persons listed who were not assigned to be emergency contacts. Anyone you list as an emergency contact must 1) have agreed to pick up your child in the event of an emergency or illness and 2) understand enough English to respond to any situation.

Only individuals listed will be permitted to pick up your child. Additional people may be added on the next screen.

Primary Contact

NAME: Jane Doe
RELATIONSHIP: Mother
HOME PHONE: 888-888-8888
WORK PHONE: 888-888-8888
EMAIL ADDRESS: name@email.com

Secondary Contact

NAME: Jane Doe
RELATIONSHIP: Mother
HOME PHONE: 888-888-8888
WORK PHONE: 888-888-8888
EMAIL ADDRESS: name@email.com

ADDITIONAL EMERGENCY CONTACT

EMERGENCY MEDICAL CONTACT FOR STUDENT