Middle School 267: Family Digital Blue Card

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Please fill out this form with your parents help, with the most accurate information. Questions denoted with an asterisk (*) are mandatory. Those without an asterisk (*) are optional but would assist us in case of an emergency or urgent situation. If your information changes, please fill it out again with more accurate information. Thank you!

Email *

Student First Name *

Student Last Name *

Grade (for this school year) *

Student ID Number (if you know it)

Student Cell (if they have, in case of emergency)

Student Email Address (if they have one other than their 267 account)

Primary Parent/Guardian First Name *

Primary Parent/Guardian Last Name
*

Primary Parent/Guardian Relationship to Student
*

Primary Parent/Guardian Cell Phone Number
*

Primary Parent/Guardian Work Phone Number

Primary Parent/Guardian Home Phone Number

Primary Parent/Guardian Home Address
*

Primary Parent/Guardian Email Address
*

Primary Parent/Guardian Best Time To Reach Out (if you choose other, please specify your preferred hours)
*

Morning (8 am - 11:59 am)

Afternoon (12:00 pm - 4 pm)

Evening (4:01 pm - 8:00 pm)

Other:

Primary Parent 2/Secondary Guardian First Name *

Primary Parent 2/Secondary Guardian Last Name
*

Primary Parent 2/Secondary Guardian Cell Phone Number

Primary Parent 2/Secondary Guardian Work Phone Number

Primary Parent 2/Secondary Guardian Home Number
*

Primary Parent 2/Secondary Guardian Email
*

Primary Parent 2/Secondary Guardian Home Address (if different from Parent/Guardian 1)
*

Consent to include your student in photographs taken throughout the school year, which may be used on in school displays, the school website/social media, and newsletters. *

Yes, I consent to have my child(ren) photographed for use as described above.

No, my child should not be included in any photographs for any of the reasons described above.

Other:

Consent to include your student in videos taken throughout the school year, which may be used on in school video displays, the school website/social media.
*

Yes, I consent to have my child(ren) photographed for use as described above.

No, my child should not be included in any photographs for any of the reasons described above.

Who should pick up your child(ren) during dismissal? *

If there is anyone who should NOT pick up your child, due to a court order or other legal reason, please specify their name, and relationship. You may be asked to provide a court order to the school to help us ensure the safety of our students. *

Method of Transportation to School (Please specify if other) *

Walking

Car

Public Transportation (Bus or Train)

School Bus

Other:

Do any of your child’s siblings attend our school? If so, please include their names and grade they are entering this year below *

Send me a copy of my responses.

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