NSHIP U r•I YES 0 No 145) NAME ADDRESS PHCNE RELATIONSHIP U MI YES D NO (46) PART ll E SCHOOL PERSONNEL ARE UNABLE TO CONTACT YOU PI CASE OF ILIJESS OR ACCIDENT, MAY WE HAVE YOUR PERMISSION TO CALL YOUR DOCTOR OR EMERGENCY SERVICES 191 II FCR TRANSPORT TO DIE HOSPITAL? 66 yes 0 NO (A7) FAMILY D