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5th Grade Parent/Student Information 2020-2021
Please complete as soon as possible. This will be shared by all the 5th grade teachers.
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* Indicates required question
Email
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Your email
Student Name (Preferred First Name and Last)
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Your answer
Homeroom Teacher
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Bowers
Stead (Cothran)
Dendy
Hagood
Hardin
Ward
Required
My child will start out the year attending school...
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In person at RES
Virtual
Student Birthday
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MM
/
DD
/
YYYY
Address
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Your answer
Child lives with:
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Your answer
Parent 1 /Guardian 1 Name
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Your answer
Parent 1 /Guardian 1 Phone Number
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Your answer
Parent 1 /Guardian 1 Email
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Your answer
Parent 1 /Guardian 1 Employer
Your answer
Parent 1 /Guardian 1 Work Phone
Your answer
Parent 2 /Guardian 2 Name
Your answer
Parent 2 /Guardian 2 Phone Number
Your answer
Parent 2 /Guardian 2 Email
Your answer
Parent 2 /Guardian 2 Employer
Your answer
Parent 2 /Guardian 2 Work Phone
Your answer
Student Bus Number (if none, write none)
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Your answer
Student Bus Color / Transportation
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Choose
Red Star
Blue Star
Green Star
White Star
Orange Star
Purple Star
Brown Star
Yellow Star
CAR RIDER
YMCA
WEE ONES
LITTLE LAMB
21ST CENTURY
OTHER - PLEASE INFORM TEACHER
Afternoon Transportation
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Your answer
Health Concerns
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Your answer
Does your child take medication at school on a daily basis?
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Your answer
Does your child have medication with the nurse that is used "as needed"? If yes, please list what the medication is for and any necessary information for the teacher.
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Your answer
Are there any family concerns you would like for your child's teachers to know about that may effect your child's day or academics?
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Your answer
What are your child's personal strengths?
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Your answer
What are your child's personal weaknesses?
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Your answer
What are your child's academic strengths?
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Your answer
What are your child's academic weaknesses that we can focus on this school year?
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Your answer
Is there anything else that you would like for us to know about your child?
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Your answer
If you had one request for your child's teachers this year, what would it be?
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Your answer
Contact 1: (In case of emergency and parents/guardians can not be reached.) List Name, Relation, Phone Number(s).
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Your answer
Contact 2: (In case of emergency and parents/guardians can not be reached.) List Name, Relation, Phone Number(s).
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Your answer
Contact 3: (In case of emergency and parents/guardians can not be reached.) List Name, Relation, Phone Number(s).
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Your answer
{At this time our school is closed to all visitors, if we are able to have help at school we would love your help if possible.} Family Involvement (Please mark any areas that you and/or family members will be able to help with throughout the school year. You may choose more than one area.)
Night in Old Redland
Make copies at school
Duty Free Lunch (Meet teacher at then end of the hallway, walk students to lunch, monitor during lunch, and walk back to the classroom.)
Staple, Cut, Tear Out, Organize items at HOME
Staple, Cut, Tear Out, Organize items at SCHOOL
Help plan and organize celebrations with guidance from teacher
Parent Tutor at school (Listen to students read, flash card with X facts, etc...)
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