Student Information 2022-2023
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Student Last Name *
Student First Name *
Parent/Guardian Name *
Parent/Guardian Cell Number *
Parent/Guardian #2 Name
Parent/Guardian #2 Cell Number
5th grade will be using Class Dojo as our only source of communication, classroom management, and parent reminders. It is mandatory that each child has at least one parent connected in Class Dojo. I understand that in order to receive messages and important announcements from my child's teachers, I will need to connect and utilize Class Dojo.  *
Parent/Guardian Email address *
Parent/Guardian #2 Email Address
Is it ok for your child's picture to be posted online? Occasionally, we would like to use your child's photograph on our district website/Facebook. Please indicate whether or not you give permission to post your child's picture for school purposes. *
Can your child watch PG movies? *
Does your child wear glasses? *
Food Allergies/Restrictions: *
List anything your child is allergic to that we may possibly use in the science labs. Ex. soaps, oils etc. *
How does your child usually get home? *
Bus Number
Please list any other information you would like us to know about your child. *
If you have a concern about any of us, or what is going on in the class, please give us an opportunity to speak with you before posting on social media. Please call or text us through Class Dojo. Our phones go into do not disturb from 5pm-7am, but we will answer you as soon as we see the text. *
ELECTRONIC SIGNATURE (Please type your name verifying all information above is correct and that you understand the questions.) *
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