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2021-2022 Rising Kindergarten Information Card
Please complete the information below, so we may add you to our communication outlets (email, PTA newsletter, mail, etc.)
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Child's LAST Name
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Child's FIRST Name
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Parent's LAST Name(s)
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Parent's FIRST Name(s)
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Street Address
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Zip Code
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Preferred Phone Number
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Additional Phone Number
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Email Address
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I would like to receive email communication from Smithfield Elementary.
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We will do our best to ensure that all children have at least ONE child whom they know in their classroom. If you have names in mind, please list them.
Because there may be circumstances that cause us not to be able to honor this request, please list at least FOUR names, if possible.
THE MORE THE BETTER!!!!
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Describe specific concerns that you have for your child (i.e. talkative, overachiever, unmotivated, nervous, quiet, withdrawn, hyperactive, medical concerns, etc.):
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If applicable, please list previous Preschool and/or Daycare your child attended.
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