Local Emergency Contact Form 2020

As part of campus health preparation for the 2020-2021 academic year, Walker’s has established a policy requiring all boarding students to have a designated emergency contact who lives within approximately 300 miles driving distance from campus.

The infirmary is staffed for short-term overnight care, usually lasting no longer than 24 hours. Some of the reasons a student may need to be picked up and taken off-campus may include, but are not limited to: exclusion due to a communicable disease (please review The Walker Book: Urgent Medical Care for disease-specific information), influenza, COVID-19, strep throat, mandated quarantine or a school shut down. 

The Ethel Walker School infirmary will expect that the local emergency contact listed below will pick up the student within six (6) hours of the call from the school. In the event that the parent/guardian is able to arrive on campus within the 24 hour period of time, the student may be released to the parent/guardian instead of the local emergency contact. These terms apply to any school closure or if the infirmary staff has made the determination that the student’s diagnosis or condition will require exclusion from the campus residential community for longer than 48 hours. 

Please fill in this form electronically or print this PDF, fill it out and email a copy back to Kathleen McNary Pillsbury at

 Local Emergency Contact Information

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  • By clicking "Submit", you agree that it constitutes your Electronic Signature and is equivalent, and has the same force and effect of your handwritten signature.