Student's Mobile Number: (Parents if your child has a phone number you can add that here.) *
Your answer
Student's GDOE Email (Please inform teachers if your child needs their email password reset) Do not add passwords here. *
Your answer
Student's Date of Birth: *
MM
/
DD
/
YYYY
Student's Grade: *
Required
Parent / Guardian Information
Parents & Guardians, this section is crucial. We need to remain connected so that we can work together!
Who is the primary contact for your child? Mom, dad, or both? Please indicate if both parents should be notified separately. *
Your answer
Mother/Guardian Name: *
Your answer
Mother/Guardian Home phone: *
Your answer
Mother/Guardian Mobile phone: *
Your answer
Mother/Guardian Work phone: *
Your answer
Mother/Guardian Email: *
Your answer
Mother / Guardian - What is the best way to contact you? You can choose more than one. *
Required
Mother/Guardian Home Address: *
Your answer
Mother/Guardian Mailing Address: If it is the same as home address, please just indicate that. *
Your answer
Father/Guardian Name: *
Your answer
Father/Guardian Home phone: *
Your answer
Father/Guardian Mobile phone: *
Your answer
Father/Guardian Work phone: *
Your answer
Father/Guardian Email: *
Your answer
Father / Guardian - What is the best way to contact you? You can choose more than one. *
Required
Father/Guardian Home Address: If it is the same as mother's info, please just indicate that. *
Your answer
Father/Guardian Mailing Address: If it is the same as mother's info, please just indicate that. *
Your answer
Emergency Contacts? Please list names and contacts of any other family members you trust for us to call or contact when we can't get in touch with you. *
Your answer
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