Please enable JavaScript in your browser to complete this form.CHILD NAME *FirstLastFATHER NAMEFirstLastFATHER MOBILE TELEPHONEFATHER eMAILMOTHER CARRIER NETWORK—AT&TBoost MobileCingularSprintT-MobileU.S. CellularVerizonVirgin MobileAndrews Memorial Readiness School offers this service at no cost. Standard carrier text and data rates may apply.MOTHER MOBILE TELEPHONEMOTHER CARRIER NETWORK—AT&TBoost MobileCingularSprintT-MobileU.S. CellularVerizonVirgin MobileAndrews Memorial Readiness School offers this service at no cost. Standard carrier text and data rates may apply.MOTHER eMAILGUARDIAN MOBILE TELEPHONEIf child does not live with either parents, please provide information for guardianGUARDIAN CARRIER NETWORK—AT&TBoost MobileCingularSprintT-MobileU.S. CellularVerizonVirgin MobileAndrews Memorial Readiness School offers this service at no cost. Standard carrier text and data rates may apply.GUARDIAN eMAIL (copy)ALTERNATE PICKUP/EMERGENCY CONTACT 1 NAMEFirstLastALTERNATE PICKUP/EMERGENCY CONTACT 1 MOBILE TELEPHONEALTERNATE PICKUP/EMERGENCY CONTACT 1 NETWORK—AT&TBoost MobileCingularSprintT-MobileU.S. CellularVerizonVirgin MobileAndrews Memorial Readiness School offers this service at no cost. Standard carrier text and data rates may apply.ALTERNATE PICKUP/EMERGENCY CONTACT 1 eMAILALTERNATE PICKUP/EMERGENCY CONTACT 2 NAMEFirstLastALTERNATE PICKUP/EMERGENCY CONTACT 2 MOBILE TELEPHONEALTERNATE PICKUP/EMERGENCY CONTACT 2 NETWORK—AT&TBoost MobileCingularSprintT-MobileU.S. CellularVerizonVirgin MobileAndrews Memorial Readiness School offers this service at no cost. Standard carrier text and data rates may apply.ALTERNATE PICKUP/EMERGENCY CONTACT 3 eMAILALTERNATE PICKUP/EMERGENCY CONTACT 3 NAMEFirstLastALTERNATE PICKUP/EMERGENCY CONTACT 3 MOBILE TELEPHONEALTERNATE PICKUP/EMERGENCY CONTACT 2 NETWORK—AT&TBoost MobileCingularSprintT-MobileU.S. CellularVerizonVirgin MobileAndrews Memorial Readiness School offers this service at no cost. Standard carrier text and data rates may apply.ALTERNATE PICKUP/EMERGENCY CONTACT 3 eMAILPARENTAL AUTHORIZATION FOR MESSAGE ALERTS *I authorize Andrews Memorial Readiness School to send email and text message alerts for notification purposes.EmailSubmit