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Questionnaire for the Master Record
The school must keep a record of significant information about your child. Please assist by filling in this questionnaire.
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* Indicates required question
Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Name of pupil (last, first middle)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade
*
Pre3
Pre4
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Parents' Names
*
Your answer
Address
*
Your answer
Telephone
*
Your answer
Child's tshirt size?
*
Your answer
Place of Birth (city and state)
*
Your answer
Adopted
*
Yes
No
Pupil's Sunday School (name, city, & state)
Your answer
My child is baptized
*
Yes
No
Date of baptism
MM
/
DD
/
YYYY
Church where baptized (name, city, state)
Your answer
How would you like to be contacted with non-emergency school updates?
*
Email
Text
I'm already signed up for Remind.
Other:
I would like a mentor family to "show me the ropes" at Immanuel this year.
Yes
No
Maybe, need more info
Clear selection
I am interested in being a mentor to a new family at Immanuel.
Yes
No
Maybe, need more info
Clear selection
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