Farnsworth 2022 Fall Registration Form

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Email *

Student Last Name *

Student First Name *

Student Preferred Name

Lunch# S________ (without the S) *

Student Email Address *

Current Grade *

Foundation Teacher *

Parent Name *

Parent Phone Number *

Would you like to be part of a Flipside Leadership Committee at your school? *

Flipside is designed by St Paul Public Schools staff, community organizations, parents and youth. If you would like to work in a leadership role with your school's Flipside Coordinator to help guide decisions about the program, please indicate below who would like to participate. The Flipside coordinator from your school will follow up with additional details.

Student only

Parent/Guardian only

Both Student & Parent/Guardian

Not interested at this time

Please indicate below if you can provide safe transportation home for your child. Students at Farnsworth will have busing on Mondays/Wednesdays. *

Yes (I can get a ride or walk home)

Yes (My child will take the city bus home and will need bus tokens)

No (I will participate in a virtual class)

School bus on the days available at my school

Please let us know your preferred transportation method home after Flipside? *

I will provide my own transportation

I will walk home from Flipside

I do not have transportation, but would like to participate virtually

I need a bus route to my home address (currently no busing availble)

I need a bus route to an alternate address (relative, daycare etc.)

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