Student Information 2022-23
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Student's Last Name *
Student's First Name (the name they GO by) *
Please type the name your student prefers to be called.
Name of person completing this document: *
Which period does your student have Mrs. Bruno? *
Student's Grade Level for 2022-23 *
Homeroom Teacher *
T-shirt size (for future use) *
Student's Birthdate *
MM
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DD
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YYYY
Parent/Guardian Name #1 (Primary) *
Email Address for Parent/Guardian #1 (Primary) *
Used for all communication from Mrs. Bruno.  Please enter a valid email address here.
Contact Phone Number for Parent/Guardian #1 (Primary) *
Please use this format: 205-555-5555
Parent/Guardian Name #2 (Secondary) *
Email Address for Parent/Guardian #2 (Secondary)
Optional---if provided, will be used to receive occasional theatre emails
Contact Phone Number for Parent/Guardian #2 (Secondary) *
Please use this format: 205-555-5555
Student's Cell Phone Number (if applicable) *
This number will be kept on file in case of a field trip.  If the student doesn't have a phone, please type NONE.  Otherwise, please use this format:  205-555-5555
Student's Email Address (optional)
Are you interested in being a parent volunteer DURING SCHOOL? *
This is mainly helping create props/scenery for our black light show or helping backstage during our black light show.
Are you interested in being a parent volunteer AFTER SCHOOL? *
This is mainly helping create props/scenery for our black light show or helping backstage during our black light show.
Would MOM be interested in chaperoning a field trip to Atlanta? (possible date of Fri, 12/ 9/22) *
Would DAD be interested in chaperoning a field trip to Atlanta? (possible date of Fri, 12/ 9/22) *
Is either parent a nurse or doctor? (for field trip purposes) *
Required
Allergies/health concerns I need to know about: (If not, write NONE.) *
Please tell me anything you want me to know about your student.  (If not, write NONE.) *
Attendance for our black light show rehearsal and performance is MANDATORY and is for a SIGNIFICANT GRADE.  While more details will come home in an email, I want you to have those dates for your calendar now (months in advance).  Rehearsal will be Tuesday, December 13th, 3:00-5:30, and shows will be on Thursday, December 15th (time depending on class period).  Coaches of sports and activities are always EXCELLENT about working with me, but it will be your CHILD'S responsibility to speak to his or her coach LONG before the day of the rehearsal or show.  I will remind them of this numerous times throughout the course of our in-class rehearsals.  By typing your name below, you are stating that you (1) UNDERSTAND the requirements, (2) commit to have your child at the ONE after-school rehearsal/after-school performance, and (3) ACCEPT a drop in grade should the student not attend. *
Parents AND students, please review our classroom policies and procedures by copying and pasting this link into your browser:  https://docs.google.com/document/d/1uInntQLifFlvVqDtNc_wjVy7ETXsydbzaTuCOpq_tQo/edit?usp=sharing
PARENT, by typing your name below, you are stating that you have read and understood the classroom policies/procedures and agree to follow them. *
STUDENT, by typing your name below, you are stating that you have read and understood the classroom policies/procedures and agree to follow them. *
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