Miss Jensen's Class Information 2018-2019

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Thank you for taking the time to help me get to know your child better!

Student First Name *

Student Last Name *

Likes to be called *

Male or Female *

Female

Male

Address *

Student Birthdate *

YYYY

Best email to send information to (class newsletters and volunteer sign up) - can include more than one *

Parents Names *

Best way(s) to contact mom

Call - Cell

Call - Home

Other:

Best Contact Information for mom

Best way(s) to contact dad *

Call - Cell

Call - Home

Other:

Required

Best Contact Information for dad

My child lives with: *

Please list any siblings in other grades at the school:

How will your student get home? *

Front Door Walker

Back Door Walker

Atrium Loading (Carpool)

Shuttle Bus

Allergies (food/medical) *

Please tell me anything else you would like me to know about your child. Hobbies, interests, strengths, difficulties, special needs, siblings, step parents’ names and phone numbers, other languages spoken at home, feelings about school, friends etc. are some of the things that can help me to get to know your child. *

What do you expect from me as your child's teacher? *

Volunteering in the Classroom *

I am interested in volunteering in the classroom/at school

I am interested in helping but can't come into the classroom

I am not interested

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