Back to School Form
Please fill out the following questionnaire for each student.  
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Student Name: *
Student Nickname:
Student Grade: *
Parent Name: *
Parent Phone Number: *
Parent Primary Email *
Student Physical Address: *
Will your student be attending school on-campus or virtual? *
Have you completed your Commitment Form in Skyward?   *
First Day of School Dismissal Transportation: In order to maintain continuity for students, please consider keeping dismissal transportation consistent with what they will be doing for the entire year. *
Rest of the Year Dismissal Transportation: *
Does your child have any allergies or medical conditions? *
If yes, please explain below.
Do you plan to store medication in the clinic? *
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