JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Information
Please fill out the student and parent information form completely. Thank You!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student's Name (First and Last)
*
Your answer
Name Child Goes By
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Lives With
*
Your answer
Phone Number (best to reach you at)
*
Your answer
Preferred email
*
Your answer
Do you prefer a digital or physical copy of newsletters and other classroom info sheets?
*
physical
digital
Mother/Guardian's Name (first & last)
Your answer
Mother/Guardian's phone number
Your answer
Father/Guardian's Name (first & last)
Your answer
Father/Guardian's phone number
Your answer
Siblings (name, grade, teacher)
Your answer
Emergency Contact (name, relationship to child, best number to reach them)
*
Your answer
Student Heath Issues (allergies, medical issues, glasses, etc.)
Your answer
Behavior Concerns
Your answer
How will your child get home on the FIRST day?
*
bus
car
after-school care
How will your child get home the rest of the year?
*
bus
car
after-school care
I give permission for [check all that apply]:
*
my child's photo to be used in the classroom for learning and projects (not posted online)
my child's photo to be posted on social media, classroom newsletter, remind, teacher portfolio
I DO NOT give permission for my child's photo to be taken for any reason
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Etowah County Schools.
Report Abuse
Forms
