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2020-2021 Student Information
Please fill out this survey so I can learn all about your student!
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* Indicates required question
Student's Full Name
*
Your answer
Student's Nickname or preferred name (if any)
Please fill this out if your child goes by something other than their first name
Your answer
Parent(s) First & Last Name(s)
*
Your answer
Parent(s) Email(s)
*
Your answer
Parent(s) Phone Number(s)
*
Your answer
Please list sibling's name(s), grade(s), and teacher(s) on our campus
Your answer
Student lives with... (check all that apply)
mother
father
grandparent/s
step-father
step-mother
foster parents
Other:
Student's technology access at home for distance learning...(check all that apply)
*
Internet
Tablet
Laptop
Desktop computer
Printer
We DO NOT have devices and will need to borrow from the school.
Other:
Required
Student's birthday:
*
MM
/
DD
/
YYYY
How will your child go home on the FIRST DAY of school?
*
Walk up (you will pick up your child from the gate)
Drive-up
Other:
Will your child get breakfast and/or lunch from school?
*
BOTH school breakfast and lunch
Only breakfast
Only Lunch
My child will have his/her own food
Other:
If any, please list your child's food allergies below:
Your answer
Please list any holidays that you do NOT want your child to celebrate:
Your answer
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