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:_____________________________________________________________________________________________