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Introducing Your Child
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Information will be shared among the 5th grade team, but will otherwise be confidential.
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Student Name
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Your answer
Home Address
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Your answer
Allergies or other health concerns
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Your answer
Parent 1 Name
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Your answer
Parent 1 Email
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Your answer
Parent 1 Phone Number
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Your answer
Parent 2 Name
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Your answer
Parent 2 Email
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Your answer
Parent 2 Phone Number
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Your answer
Usual transportation to and from school (bus number, CARE, etc.)
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Your answer
List three or more words that describe your child's personality.
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Your answer
What motivates your child? What upsets your child?
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Your answer
What are your child's out-of-school interests and activities?
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Anything else you'd like to share?
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