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2020-2021 Lytle ISD Health Form
Please fill out the following health information for your child.
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* Indicates required question
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Which campus is your child at?
*
Lytle Primary School (PreK-1st Grade)
Lytle Elementary School (2nd-5th Grade)
Lytle Junior High School (6th-8th Grade)
Lytle High School (9th-12th Grade)
Student's Grade Level
*
Choose
PreK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Mother/Guardian's Name
*
Your answer
Mother/Guardian's Cell Phone Number
*
Your answer
Mother/Guardian's Work Phone Number
*
Your answer
Father/Guardian's Name
*
Your answer
Father/Guardian's Cell Phone Number
*
Your answer
Father/Guardian's Work Phone Number
*
Your answer
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