STUDENT INFORMATION INDEX CARD

Name: _______________________________

Todays Date:_____________________

(Last Name), (First Name)

Student#:_____________________________
Phone Number (Optional): ____________________________
Email (Optional): _____________________________
Class Schedule:
(Write the room # only)

Per 0.___________
Per 1.___________
Per 2.___________
Per 3.___________
Per 4.___________
Per 5.___________
Per. 6.___________
Reliable Primary Emergency Contact # (Mother/Father/Guardian):

___________________________________________________

Reliable Secondary Emergency Contact # (Mother Father/Guardian):

___________________________________________________

Period: ______________________