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Student Data Sheet
2020-2021 School Year: Please complete this form for an individual student.
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* Indicates required question
Email
*
Your email
What school will your student be attending this school year?
*
BES (grades K-4)
BMS (grades 5-8)
BHS (grades 9-12)
What grade level will your child be in for the 2020-2021 school year?
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Required
Mark what learning option you have selected for your student to begin the 2020-2021 school year.
*
Distance Learning
On campus
Student's Legal First Name
*
Your answer
Student's Middle Name
Your answer
Student's Legal Last Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Is student currently in foster care?
*
Yes
No
Ethnicity: Student is of Hispanic, Latino, or Spanish culture or origin?
*
Yes
No
Race
*
White
Black
Asian
American Indian
Pacific Islander
Required
Mailing Address
*
Your answer
Street/911 Address
*
Your answer
Home Phone Number: This will be the phone number that you wish for all AIMS notifications and calls to be sent to.
*
Your answer
Parent/Guardian Name and Phone Number: (home, cell, and work)
*
Your answer
Emergency Contact Name and Phone Number: Please list any additional emergency contacts (Other than Parent/Guardian)
*
Your answer
Medications/Allergies:
*
Your answer
Special Medical/Emotional/Educational information that might help teacher:
*
Your answer
List any physical limitations or restrictions of child:
*
Your answer
Siblings attending Baldwyn School District: (Name/Grade)
*
Your answer
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