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Student Information

Your child will be coming home with this form in his back pack.  Please fill it out and return it as soon as possible. 

 

Student name___________________________________________________________________________________________________

Address_________________________________________________________________________________________________________

Medical Concerns/Allergies_____________________________________________________________________________________

Siblings_________________________________________________________________________________________________________

Are there any holidays your child does not celebrate?__________________________________________________________

How does your child get home?_________________________________________________________________________________

Parent Name:___________________________________________________________________________________________________

Cell Number:____________________________________________________________________________________________________

Work Number:__________________________________________________________________________________________________

Email:___________________________________________________________________________________________________________

When is the best time to contact you?__________________________________________________________________________

 

Parent Name:___________________________________________________________________________________________________

Cell Number:____________________________________________________________________________________________________

Work Number:__________________________________________________________________________________________________

Email:___________________________________________________________________________________________________________

When is the best time to contact you?__________________________________________________________________________

 

Emergency Contact:_____________________________________________________________________________________________

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