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Please complete this form with the best contact information for your family.
2020-2021 Contact Information
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Address (street number, street name, city, zip code)
*
Your answer
Mother's Name:
Your answer
Mother's Home Phone Number:
Your answer
Mother's Cell Phone Number:
Your answer
Mother's Email Address:
Your answer
Father's Name:
Your answer
Father's Home Phone Number:
Your answer
Father's Cell Phone Number:
Your answer
Father's Email Address:
Your answer
Student Lives With: (parents, grandparents, siblings, etc.)
*
Your answer
I prefer to be contacted by:
*
Phone
Email
Text (Remind Message)
Required
My Child Will Be Using A ...
*
School Chromebook
Device from Home
My Child Will Be Doing Their Learning From ...
*
Home
Daycare
Other:
I have signed up for the class Remind. Text @GordonWHES to the number 81010.
*
Yes
No
Allergies or Medical Concerns:
Your answer
Send me a copy of my responses.
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