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Andrew Robinson Student/Parent Information
Due to COVID-19 it is extremely important to collect as much student information as possible before the opening of school. Please complete each question.
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* Indicates required question
Student's Name (First Name, Last Name)
*
Your answer
Grade Level
*
PreK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Mother's Name (First Name, Last Name)
*
Your answer
Phone Number (XXX-XXX-XXXX)
Your answer
Mother's Email Address
*
Your answer
Father's Name (First Name, Last Name)
*
Your answer
Phone Number (XXX-XXX-XXXX)
*
Your answer
Father's Email Address
*
Your answer
Address (Street Number and Name)
*
Your answer
City & Zip Code
*
Your answer
Are there any legal documents on file in the cum folder?
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Yes
No
List allergies or health concerns.
*
Your answer
How will your child go home?
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Bus
Car
Day Care Van Rider
Walker
Extended Day
Bus Number and Stop
Your answer
Car Tag Number
Your answer
Name of the Day Care Provider
Your answer
How will your child participate in school for the 2020-2021 year?
*
In Person (Face-to-Face)
Duval Homeroom
Duval Virtual Instruction Academy (DVIA - enrolled for an entire school year)
Emergency Contact Name (First Name, Last Name)
*
Your answer
Emergency Contact Phone Number (XXX-XXX-XXXX)
*
Your answer
Emergency Contact Name (First Name, Last Name)
*
Your answer
Emergency Contact Phone Number (XXX-XXX-XXXX)
*
Your answer
Are emergency contacts listed authorized to pick your child up from school?
*
Yes
No
Name of Siblings (Attend Andrew Robinson)
Your answer
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