About this Form
Form number: 236-1
Audience: Parents/Guardians, School Staff, Students
Last revised: June 2016
This form is for parent/student reunification only; no other use is intended or authorized. If this form is not completed by student's parent/guardian and returned to student's assigned school, MCPS staff may refer to MCPS Form 565-1, Student Emergency Information (yellow card) in the event of an emergency that requires the school to release a student using the parent/student reunification protocols at the student's school.
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