42 Maynard Road, Old Saybrook, CT
Phone: (860) 388-0849 | Fax: (860) 388-6265

Educating the Whole Child from Pre-K3 to Grade 8

St. John School Student Emergency Contact Information

Family Last Name

Your Email

Street

City

State

Zip

Student #1 Name

Please list all students in family at SJS

Student Date of Birth

Grade

Allergies (Yes/No)

If YES to ALLERGIES, please list

Student #2 Name

Student Date of Birth

Grade

Allergies (Yes/No)

If YES to ALLERGIES, please list

Student #3 Name

Student Date of Birth

Grade

Allergies (Yes/No)

If YES to ALLERGIES, please list

Student #4 Name

Student Date of Birth

Grade

Allergies (Yes/No)

If YES to ALLERGIES, please list

Parent/Guardian #1 Name

First & Last Name

Relationship

Lives with Child (Yes/No)

Home Phone

Cell Phone

Employer

Email

Parent/Guardian #2 Name

Relationship

Lives with Child (Yes/No)

Home Phone

Cell Phone

Employer

Email

Student's Physician

Physician's Phone

Student's Dentist

Dentist's Phone

In the event of a serious medical emergency or accident, and I cannot be reached, I authorize the school personnel to have my child treated by a readily available physician, hospital or emergency facility.

Yes No

Parent/ Guardian Name

Date

<<	February 2021	>>
	1	2	3	4	5 First Friday - Early Dismissal… First Friday Mass	6
7	8	9	10	11	12	13
14	15 Winter Break - No School	16 Winter Break - No School	17	18	19	20
21	22	23	24	25	26	27
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Upcoming Events

Accredited Member - New England Association of Schools & Colleges

A teaching apostolate of the Sisters of Charity of Our Lady Mother of the Church (SCMC)

Saint John School
42 Maynard Road Old Saybrook, CT 06475
(860) 388-0849 |

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Educating the Whole Child from Pre-K3 to Grade 8

St. John School Student Emergency Contact Information

February 2021

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Upcoming Events

Wednesday March 3rd – Virtual Open House

Friday March 5th – Grades Close

Friday March 5th – First Friday - Early Dismissal - 12pm

Friday March 5th – First Friday Mass

Monday March 15th – Professional Development - No School

Wednesday March 17th – Report Cards Issued

Tuesday April 6th – Lifetouch Spring Portraits