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Student/Parent Information Form
Mrs. Porricelli's Class 2023-2024
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* Indicates required question
Email
*
Your email
Student Full Name
*
Your answer
Please call my child by this name...
*
Your answer
Medical Conditions/Allergies/Important Health Info
*
Your answer
Afternoon Transportation for
First
Day of school only!
IF Bus, Please state color*
*
Your answer
Afternoon Transportation for
second
Day of school only!
IF bus, please state color*
*
Your answer
normal Morning Transportation for the rest of the school year (if bus, please state color)
*
Your answer
Normal Afternoon Transportation for Rest of year (if bus, please state color)
*
Your answer
Primary Contact Name
*
Your answer
Primary Contact Phone Number (please label as cell or home)
*
Your answer
Primary Contact Email
*
Your answer
Preferred method(s) of contact for the Primary Contact:
*
Email
Phone call
Text to Cell Number
Required
Secondary Contact Name (optional)
Your answer
Secondary Contact Phone Number (optional) (please label as cell or home)
Your answer
Secondary Contact Email (Optional)
Your answer
Preferred method(s) of contact for the Secondary Contact (optional):
Email
Phone call
Text to Cell Number
Your Child's T-shirt size for Field trip shirts
*
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Required
Does your student have permission to watch
PG movies
Literacy related movies in class? (*A separate email will be sent with the title of the movie in advance)
*
Yes
No
What are three words you would use to describe your child?
Your answer
What is one area that you would like to see your child grow in this year?
Your answer
Any other information you would like your child's teacher to know...
Your answer
A copy of your responses will be emailed to the address you provided.
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