22-23 Parent Information
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What is your child's first name? *
What is your child's last name?
Who is your child's homeroom teacher? *
How is your child going home the first day of school? *
How is your child going home after the first day of school? *
BUS & VAN RIDERS ONLY:  What is your child's bus number or van name?
What is your child's home address(es)? *
Mother/Guardian Full Name: *
Mother/Guardian Home Number *
Mother/Guardian Cell Number *
Mother/Guardian Work Number: *
May I contact mother/guardian at work as necessary? *
Mother/Guardian Email Address(es): *
Father/Guardian Full Name: *
Father/Guardian Home Phone Number: *
Father/Guardian Cell Phone Number:
*
Father/Guardian Work Number: *
May I contact father/guardian at work as necessary? *
Father/Guardian Email Address(es): *
What is the primary email address in which you would like to be contacted? *
Does your child have Internet access at home? *
Please select any of the following that your child has to use at home: *
Required
Does your child have video/picture permission? *
Does your child have any allergies or other health concerns of which we need to be aware?  If so, please list below. *
Are languages other than English spoken at home? (Adults and students) *
If you selected "yes" in the last question, what language(s) other than English are spoken at your home?
Are you interested in being our class parent this year? *
May I share your contact information with: *
Yes
No
Other parents in our class
Specialists
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