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Student Info Form 2020-2021
Please fill out the following form to share with Mrs. Henderson and Mr. Reiss about your child!
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* Indicates required question
Email
*
Your email
Student's full name
Your answer
Student's Birthday
MM
/
DD
/
YYYY
Parent(s) first & last name(s)
Your answer
Parent(s) email(s)
Your answer
Parent(s) phone number(s)
Your answer
Child's home address
Your answer
How do you prefer to communicate with the teacher?
Email
Phone
Clear selection
How does your child get home from school?
Car Rider
Walker
Van Rider
Other:
Clear selection
If you answered other, please explain.
Your answer
If you answered walker, please explain if there is a different plan for your child to get home if it is raining.
Your answer
Is there anything you would like me to know about your child? (Concerns or special needs)
Your answer
Please list last year's school and teacher.
Your answer
Allergies/Medical Information:
Your answer
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