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5th Grade Student Information
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Your 5th grader's homeroom teacher
*
Hofer
Clark
Johnson
Crow
Hale
Padilla
Nagano
Bellah
Your 5th grader's last name
*
Your answer
Your 5th grader's first name
*
Your answer
Parent's Names
*
Your answer
Address
*
Your answer
Preferred phone number for contact
*
Please include name
Your answer
Other phone numbers for contact (optional)
Please include name.
Your answer
Preferred email address
*
Your answer
Other email address(es)
optional
Your answer
Which group will your 5th grader be going with at the end of the day?
*
Singles (only child at this ACA campus) or Multiples (more than one child in 3rd-5th)
Daycare pickup
Mixed Multiples (at least one child at the primary and one child at the intermediate campus)
H and H
If your child rides a daycare bus, which daycare do they go with?
Your answer
Does your child have any allergies that we need to know about?
*
Yes
No
If your answer was "yes," please tell us what that allergy is:
Your answer
Are you interested in volunteering?
Help with sanitizing
Cutting out lamination
Activities
Any
Room Mom
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