Emergency Information Form

Local Emergency contact
Local Emergency contact
Local Emergency contact
If child is taken to school by a sitter

Child Transport list

Child Care center licensing (N.J. 10:122-6.8(a)) requires DNPCCNS to have on file a written list from each child's parents/guardians of those individuals authorized to visit and/or take their child from school. Your child will not be permitted to be visited by or leave with any individual who is not listed here.

My/our child may be visited be and/or leave school with emergency persons listed about and the following people:

In case my child has an accident or becomes ill and my doctor is not available, I give permission for my child to be treated by the University Medical Center of Princeton Emergency Room.