Cell Phone Emergency Notification Form

Affiliation with the school*
Name*
First Last
My personal cell phone number is:*
Phone format: (###)###-####
Deerfield Email*
I grant Deerfield Academy permission to send TXT messages to the cell phone number I have provided above; messages I receive may include emergency notifications, system tests, and other messages approved by Deerfield Academy Security. I understand that I am responsible for the text messaging charges on my cell phone bill, and that I will not be reimbursed for the cost of any messages that the Academy sends me. I agree to contact Deerfield Academy Alumni Records in the event that my cell phone number changes or if I want my number removed from the TXT Emergency Notification System.*
- By checking this box:
I grant Deerfield Academy permission to send TXT messages to the cell phone number I have provided above; messages I receive may include emergency notifications, system tests, and other messages approved by Deerfield Academy Security. I understand that I am responsible for the text messaging charges on my cell phone bill, and that I will not be reimbursed for the cost of any messages that the Academy sends me. I agree to contact Deerfield Academy Alumni Records in the event that my cell phone number changes or if I want my number removed from the TXT Emergency Notification System.
Note: this must be YOUR cell phone, not a parent or sibling.

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