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AFTERSCHOOL PROGRAM IDENTIFICATION AND EMERGENCY CONTACT

Birthday
MARITAL STATUS

NOTE: Emergency contact should be a person who will pick up your child within a matter of minutes.  Please keep this in mind when considering relatives who live a long distance from the school.  

In an emergency, American Martial Arts Academy Learning Center will make every effort to contact parents first.   If the parents cannot be reached, the people listed below are authorized to pick up my child from the Learning Center.  


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