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Parent/Guardian Information Collection Form
Please fill out the contact information below for the 2020-2021 School Year
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* Indicates required question
Student First & Last Name
*
Your answer
Parent/Guardian Name
*
Your answer
Parent Contact Phone number
*
Your answer
Email address:
Your answer
Method of contact preferred:
*
Email
Phone
Secondary Parent or Guardian Name:
Your answer
Secondary Parent or Guardian Phone Number:
Your answer
Secondary Parent or Guardian Email :
Your answer
Secondary Parent or Guardian method of contact preferred:
email
Phone
Clear selection
Does your child have regular access to the internet at home?
*
Yes
No
Does your student have allergies? If so, what are they allergic to?
Your answer
Any additional information you would like to provide about your student
Your answer
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