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Student Info Form 2020-2021
Please fill out the following form to share with your child's fifth grade teacher.
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* Indicates required question
Email
*
Your email
Student's Full Name:
*
Your answer
Homeroom Teacher
*
Ms. Barrios
Ms. Johnson
Ms. Kindle
Mr. Carter
Ms. White
Ms. O'Connell
Ms. Bernal
Ms. Logan
Not Sure
Guardian(s) First & Last Name(s):
*
Your answer
Guardian(s) Email(s):
*
Your answer
Guardian(s) Phone Number(s):
*
Your answer
Is there anything you would like me to know about your child?
Your answer
Can your child have their picture taken and posted on Twitter and our 5th Grade Instagram account?
*
Yes
No
Can your child have their picture posted on the school website?
*
Yes
No
Does your child have any health concerns?
*
Yes
No
If your child has health concerns, please explain:
Your answer
Send me a copy of my responses.
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