MISS WINGEN 1ST GRADE

Childs Name:______________________
Parents Names: ____________________

Contact number:_________________
E-mail:_________________________

I am excited to start the year with your child and cant wait to get to know him/her. By filling out this form, you and your childs needs will be better understood. PLEASE RETURN THIS FORM THE FIRST WEEK OF SCHOOL. I have an open door policy and you are always welcome in the classroom. Please feel free to contact me with any questions or concerns you may have. Thank you for your involvement in your childs education.

ALLERGIES/MEDICAL
Does your child have any allergies or medical needs? __________________________________________ __________________________________________ __________________________________________

GETTING HOME
(Please X all that apply)

_______ _______ _______

My child will ride bus #________. My child will walk/ride their bike home. My child will be picked up from school.

MISS CHRISTA WINGEN

School: (605) 641-1191 Cell: (605) 201-2170 christa.wingen@yellowjackets.bhsu.edu

Are there any restrictions on who can pick up your child? ____________________________________ ____________________________________ ____________________________________

FIELD TRIP AUTHORIZATION (please X one):

____ My child, __________________, has permission to participate on all field trips. ____ My child, __________________, has permission to participate on field trips within walking distance. ____ My child, __________________, DOES NOT have permission to participate on field trips.

___________________________________ Parent signature

____________________ Date

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