Student Information For Mrs. Leemaster
Please complete this form to help me get to know your child and your family. The information you will provide by answering the following questions will help us start down the path to building a great student-teacher-parent relationship. It will also help me make sure that I have the most up-to-date, necessary information about your child.

Please complete and submit this form no later than Friday, September 1st, 2023. 

Please NOTE: All questions marked with a * must be completed. Everything else is voluntary, if you choose to share. Thank you!
Email *
Child's Name *
Child's Birthday *
MM
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DD
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YYYY
Child's Address *
Does your child have any allergies? Please list *
Does your child have any other medical concerns Mrs. Leemaster should know about? Please list *
Parent/Guardian's Name (1) *
Parent/Guardian's Phone Number (1) *
Parent/Guardian's Email (1) *
Parent/Guardian's Job/Employer (1)
Parent/Guardian's Name (2)
Parent/Guardian's Phone Number (2)
Parent/Guardian's Email (2)
Parent/Guardian's Job/Employer (2)
Please list the people who live in your child's home. *
Are there custody papers for your child or any arrangement Mrs. Leemaster needs to be made aware of? *
Are there any holiday's your child does not or may not celebrate? *
Does your child have any dietary restrictions Mrs. Leemaster should be aware of? *
Did your child attend Preschool? If so, please list the name of the school(s). *
What is your child interested in? *
What is your child great at? *
What is your goal for your child this school year? *
Do you have any concerns Mrs. Leemaster should be aware of? *
Is there anything else you would like to share with Mrs. Leemaster?
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