If your child prefers to go by a different name please let us know.
Your answer
Student's Date of Birth *
Month/Day/Year
Your answer
Preferred Contact Name *
Please list the parent/guardian that you prefer to be the PRIMARY contact.
Your answer
Preferred Contact Phone # *
Please include area code
Your answer
Preferred Contact Email *
This email address will be the only one contacted unless secondary listed.
Your answer
Secondary Contact Name *
Please list name of other parent/guardian.
Your answer
Secondary Contact Phone # *
Please include area code
Your answer
Secondary Contact Email
ONLY list 2nd email if you would like it included for all classroom news from child's teacher.
Your answer
Emergency Contact Name and Phone # *
Other than parent/guardian
Your answer
Transportation after school on FIRST day *
Choose
Car Rider (parent will drive through the car rider line)
Walker (parent will walk up to the school to pick up or child will walk home independently)
School Bus
Daycare (off campus)
YMCA
Please list bus number or day care center used on the first day.
Your answer
Transportation after school REMAINDER of the school year *
Choose
Car Rider (parent will drive through the car rider line)
Walker (parent will walk up to school to pick up or child will walk home independently)
School Bus
Daycare (off campus)
YMCA
Please list bus number or day care center that will be used for the remainder of year.
Your answer
Please list all siblings at Sommer and their teacher.
Your answer
Allergies *
Please list ALL allergies your child has
Your answer
I grant permission for my child's teacher to share PRIMARY contact info with homeroom parent. *
Choose
Yes
No
I grant permission for my child's teacher to take and publish pictures and video of my child for classroom use only. *
Pictures/videos are shared via email and/or classroom web page only
Choose
Yes
No
I grant permission for my child's teacher to share PRIMARY contact info with other parents for any outside events (i.e. birthday parties, play dates, etc.). *
Primary email ONLY will be shared unless otherwise stated to teacher
Choose
Yes
No
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