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Student Emergency Information (Yellow Card)
Elementary and Middle School Students

Language
Name
PDF Size
Form Number
English Student Emergency Information
(Elementary and Middle School Students Only)		 78 K 565-1
Amharic የተማሪው የአስቸካይ መረጃ
(የመጀመሪያ እና የሁለተኛ ደረጃ ተማሪዎች ብቻ)		 99 K 565-1 Amharic
Chinese 學生的緊急聯絡資料
(僅供小學和初中學生使用)		 113 K 565-1 Chinese
French Information d'Urgence de l'Élève
(Les Élèves des Écoles Élémentaires et des Collèges Uniquement)		 60 K 565-1 French
Japanese 生徒非常連絡簿
(小・中学生用)		 126 K 565-1 Japanese
Korean 학생 신상 정보 (비상연락용)
(초/중학생)		 117 K 565-1 Korean
Portuguese Informação de Emergência do Aluno
(Somente Para Alunos de Escolas Primárias e Médias)		 74 K 565-1 Portuguese
Russian Информация учащегося при чрезвычайных ситуациях
(Только учащиеся начальной и неполной средней школы)		 117 K 565-1 Russian
Spanish Información de Emergencia del Estudiante
(Solamente Estudiantes de Escuelas Elementales y de Enseñanza Media)		 70 K 565-1 Spanish
Vietnamese Thông Tin Khẩn Cấp của Học Sinh
(Chỉ Dành Cho Các Học Sinh Trường Tiể u Họ c và Trườ ng Cấp I)		 83 K 565-1 Vietnamese

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat

 
For questions regarding forms, call Harriet Potosky at (301) 279-3538.

Updated June 22, 2009 | Maintained by Missy Gumula
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