Annual Student Emergency + Form

Every Canterbury student must have emergency information on file with the school before the first day of classes. The school collects this information annually via the following online form which includes: Emergency Info, Permission to Treat, Allergy Info, Tylenol Permission, and Day Field Studies Permission (allowing students to go on field studies during the school day), and Authorization for Medical Treatment and Assumption of Financial Responsibility (extended trips/travel and athletics travel and treatment).

Please fill out one form per student.

The information from this form will be kept in the school offices for each student enrolled in that division. Emergency and Permission to Treat information will also be shared with the athletics offices in Middle and High School, for those students participating in school sports.

Please note, you must fill in all *required fields in order for the form to submit successfully. When you hit the SUBMIT FORM button, a message will pop up on the screen that the form was submitted successfully. You will receive a receipt of the form (usually within 30 minutes) to the email address entered for form results.