Telephone Numbers (state whether it's home, work or cell phone number) *
Please list numbers for each parent/guardian
Your answer
Email Address *
Please list an email address for each parent/guardian, if applicable. Write N/A if none.
Your answer
Emergency Contact Name and Information (phone and email) *
Please list name and contact information beside name. If none, type N/A.
Your answer
Any known allergies or other medical information I will need to know? *
Please complete the next box if you check YES.
Required
If any, allergies or other medical information, please list here.
Your answer
Do you have a way of accessing the internet? *
We will be using the REMIND app in order to relay messages via text or email. If you have your cell phone, please text the message @mrsbhjm8 to 81010 or (502) 410-2602 to join Mrs. Bautista's REMIND. Text the message @lowehjm807 to 81010 or (281) 667-4603 to join Ms. Lowe's REMIND. *
Is there any other information that you would like to share concerning your child?
Your answer
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