DATE:

Time Capsule
My name is ______________________________________________________. I
was born on ________________________________. I am _____ years old.

This is my address:
______________________________________
______________________________________
______________________________________

My favorites
favorites:
Color

____________________________________________

Food

____________________________________________

Sport

____________________________________________

Movie

____________________________________________

Musician
Holiday
Animal

_____________________________________________
____________________________________________
_____________________________________________

Season

____________________________________________

TV Show

____________________________________________

School Subject _________________________________________

Pizza Topping __________________________________________
Book

____________________________________________

I have ______ people in my family, including me. My family includes the

following people: ___________________________________________

My best friend is _____________________________________. I like my best friend

because _____________________________________________________
_________________________________________________________________

I am excited about fourth grade because _____________________________

_________________________________________________________________

I am nervous about fourth grade because____________________________

_________________________________________________________________
In my free time, I like to __________________________________________
_________________________________________________________________
The title of the last book I read was ________________________________
_________________________________________________________________
When I grow up, I want to be ____________________________________

If I had three wishes, I would wish for:

1.
2.
3.

Here is a picture of me!