Student and Parent Inventory
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1. Student Name *
2. Student Address *
3. Student Birthdate *
MM
/
DD
/
YYYY
4. Student lunch number *
5. Student lives with... *
6. Mother's name *
7. Mother's cell # *
8. Mother's home # *
9. Mother's work # *
10. Mother's email address *
11. Father's name *
12. Father's cell # *
13. Father's home # *
14. Father's work # *
15. Father's email address *
16. Guardian's name (other than mother or father)
17. Guardian's cell #
18. Guardian's home #
19. Guardian's work #
20. Guardian's email address
21. Emergency contact name and phone # *
22. Is there anything about your child you would like for us to know? *
23. List any allergies your child has. *
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