Contact Information
Welcome to our classroom! I am so excited to get to know your child this year. Please complete this form so that we can build a positive relationship between home and school.
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Student's First & Last Name *
Student's Birthday *
MM
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DD
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YYYY
Parent/Guardian Name(s): *
Home Address *
Parent/Guardian Email *
Best Daytime Phone Number: *
Parent/Guardian Work Number: *
Parent/Guardian Name (2): *
Parent/Guardian Email (2): *
Parent/Guardian Cell (2): *
Parent/Guardian Work Number (2): *
Please list any health and/or allergy concerns. *
Emergency Contact Information: *
How will your child be dismissed? *
Please indicate the name of the daycare or school bus number. *
Some important things you need to know about my  child... *
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