Student Information 2021-2022

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Student Last Name *

Student First Name *

Parent (s) Name *

Cell Number. If listing multiple numbers, please add names beside the number *

Is it alright to text you? Please make sure you have joined our Class Dojo to receive important class messages. *

Yes

Email address *

Is it ok for your child's picture to be posted online? *

Yes

Can your child watch PG movies? *

Yes

Does your child wear glasses? *

Yes

List anything your child is allergic to that we may possibly use in the science labs. Ex. soaps, oils etc. *

How does your child usually get home? *

Bus

Car Rider

Daycare

Walk

Bus Number

Please list any other information you would like us to know about your child. *

If you have a concern about any of us, or what is going on in the class, please give us an opportunity to speak with you before posting on social media. You received our cell numbers on the first day of school. Please call or text us. Our phones go into do not disturb from 8pm-6am, but we will answer you as soon as we see the text.

Agree

Disagree

Clear selection

ELECTRONIC SIGNATURE (Please type your name verifying all information above is correct and that you understand the questions.) *

Submit

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