Welcome to 5th Grade!
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What is your student's first name? *
What is your student's last name? *
Who is your student's homeroom teacher? *
When is your student's birthday? *
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Parent/Guardian 1 Name:  *
Parent/Guardian 1 Email Address: *
Parent/Guardian 2 Name: 
Parent/Guardian 2 Email Address:
Does your child have any dietary needs or allergies? If yes, please briefly explain. *
How will your student primarily get home in the AFTERNOON? (Please note that if your child will go home another way, an email must be sent to his/her teacher.) *
How will your student get home in the AFTERNOON ON THE FIRST DAY? (Please note that if your child will go home another way, an email must be sent to his/her teacher.) *
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