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Student Information
Please fill out the following information below about your child. I look forward to working together as a team to support your child in their educational journey this year!
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Email
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Your email
What is your child's name?
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Your answer
What does your child like to be called?
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Your answer
When is your child's birthday?
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Your answer
Who does your child live with during the school year?
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Your answer
Child's address during school year:
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Your answer
Does your child have siblings in this district?
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Yes
No
If yes, please write their names and their teacher/grade. If no, write N/A
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Your answer
Does your child have any allergies or health concerns?
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Allergies
Health Concerns
Both
None
If you selected "Allergies" or "Healthy Concerns" in the previous question, please write the allergy and/or the health concerns. If you did selected "None", please write N/A.
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Your answer
How does your child leave school? Please select their USUAL routine for after school dismissal.
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Parent pick up
Bus
After school program
Walk
Other:
Please provide specific details about your child's dismissal: parent pick up (include who picks them up), takes the bus (include bus number), goes to an after school program (include name of program), or walks (include where they're walking to).
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Your answer
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