Student Emergency Card

Complete and submit the Student Emergency Card below, or download the Emergency Card HERE.

Name(Required)

First Middle Last

Address(Required)

Street Address PO Box/Mailing Address City ZIP / Postal Code

Contact Phone(Required)

Sending School(Required)

Gender(Required)

Session(Required)

Grade(Required)

Birth Date(Required)

Shop(Required)

Father / Guardian

First Last

Personal Phone

Name of Employer

Work Phone

Address (if different from student's)

Street Address City State / Province / Region ZIP / Postal Code

Mother / Guardian

First Last

Personal Phone

Employer Name

Work Phone

Address (if different from student's)

Street Address City State / Province / Region ZIP / Postal Code

Who does the student reside with (check all that apply)?(Required)

Mother

Father

Guardian

If parents cannot be reached, please call:(Required)

Name Relationship

Phone(Required)

If parents cannot be reached, please call:

Name Relationship

Phone

PARENTAL CONSENT FOR CAREER & TECHNICAL STUDENTS(Required)

Accident / Illness
Please be advised that the Crawford County Career & Technical Center (Crawford Tech) employs a Health Technician. The Health Technician will attend to minor injuries and illnesses. Parents will be contacted prior to a child being dismissed due to illness. In the event of an emergency, Crawford Tech staff will contact 911. At the same time, a parent or guardian will be contacted. In the event of a serious medical emergency, if the parent cannot be contacted, the student will be transported to the Meadville Medical Center for evaluation and treatment. Crawford Tech does not carry any medical or accident insurance for its students; parents will be responsible for all costs associated with medical treatment. Supplemental accident insurance is available at your son or daughter's sending school. All career & technical students will receive proper training in general safety and the operation of power equipment used in their field of study. However, even with appropriate supervision and training, accidents may occur. Your signature states that you recognize the potential dangers associated with the lab work and/or field work that are essential in your child's technical training.

Computer / Internet User Agreement
Your signature indicates that you have read and agree to abide by Crawford Tech’s Computer and Network User Agreement as written in the Student Handbook. Should your child commit any violation, their access privileges may be revoked, school disciplinary action may be taken, and/or appropriate legal action.

Photo Release
Your permission is requested to have your child photographed for use in promotional materials, such as the school’s website, yearbook and posters. Your signature indicates that you have read and agree to Crawford Tech’s Photo Release as written in the Student Handbook.

Please list a valid e-mail address as this is the preferred method of contact when your child is absent. If at any time during the school year the above information changes, new emergency cards will need to be completed and returned to Crawford Tech’s Main Office.

I certify that I have read and agree to all of the conditions stated in the above policy; have provided correct information; and I have reviewed the Crawford County Career & Technical Center’s Student Handbook and am familiar with its policy and procedures. In the event the above persons cannot be reached in an emergency, I hereby give permission to any licensed physician to take care of my child.

I consent to the above statements.

Student Signature(Required)

Parent / Guardian Signature(Required)

Medical Information

Notify the Health Technician / School immediately of any changes.

Physician's Name

Phone

Dentist's Name

Phone

Known Conditions(Required)

Hospitalization(Required)

Concussion(Required)

Medications

Inhaler(Required)

Allergies(Required)

Epi-Pen(Required)

Vision / Hearing Problems(Required)

Last Tetanus Shot Date

Parent / Guardian Signature(Required)

Date

Over the Counter Medications

Crawford County Career & Technical Center Medication Administration Permission: School Physician orders allow for administration of any school oral medication up to 4 times a month. Please check each medication you permit your student to receive during school hours.

Parent / Guardian Signature(Required)

Date

“Twinkle Night at Tech” is scheduled for Wednesday, December 13, 2023, from 5:00 pm to 7:00 pm for students in K-4 from any of Tech’s Sending School Districts. Register Here.

High School Programs

HVAC Technology New

Sports Medicine – Rehabilitative Sciences New

Veterinary Sciences New

Adult Programs

At Crawford Tech we provide skills training in a variety of fields for students and adults in Crawford County.

General

Quick Links for Campus Users

Student Services staff is available to any High School student who is attending or is interested in attending Crawford Tech.

Powerschool Login

The Crawford Tech admissions process is designed to help students explore opportunities and plan for their future with a CTE program.

Student Emergency Card

Medical Information

At Crawford Tech we provide skills training in a variety of fields for students and
adults in Crawford County.