Open House Questionnaire for Mrs. Shimaura  SY 2021-22
Hello Room 34 Parents,

Thank you for participating in my quick questionnaire.  I would like to gather a few bits of information in order to be able to keep in contact with you and to be able to plan and prepare for your child's year.

Thank you!
Tracey Shimaura
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Student's Name *
Please list any allergies your child has.
How will your child be getting home from school? *
Mother's Name
Mother's Phone Number (best number to contact)
Mother's Email Address
Father's Name
Father's Phone Number (best number to contact)
Father's Email Address
Other Siblings and grade levels *
Does your child have a device that can be used at home for assignments? *
Does your child have internet access for their device? *
I signed up for the Class Dojo messaging for Room 34. (See handout) *
My child and I have read and discussed the 4th Grade Homework Policy & Discipline Plan. (See handout) *
Any other information you would like to share?
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