Student Information
Please complete this form to give your child's teacher the most updated contact information.
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Student Name *
Parent/Guardian #1 Name *
Parent/Guardian #1 Phone Contact Number *
Parent/Guardian #1 Email address *
Parent/Guardian #2 Name
Parent/Guardian #2 Phone Contact Number
Parent/Guardian #2 Email address
List an emergency contact and phone # other than parent/guardian *
How is your child getting home under Plan B?  (please include bus number if available) *
How will your child go home in case of an early dismissal for inclement weather? *
Please list any allergies your child has below. If none, please skip this question.
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