Parent/Guardian Information

Parent/Guardian Name:
Student Name:
What is the best way to contact you? Please mark one and list desired contact address or number.

o Email _________________________________________
o Phone ________________________________________

Please

check the volunteer opportunities you are interested inThanks!

Teacher Helper (copy, cut, staple, bind, etc.)

List available days/times
__________________________________________________
Special Events Volunteer/Chaperone (Field trips, parties, programsinformation will be
sent home later this year)
Classroom Assistant (Listen to students read, work with small groups, etc.)
List available days/times
__________________________________________________

Student Information
How does your child get home?

o Walks home
o Takes the bus

o Picked up by ________________________
Does your child have any food allergies? If so, please list them.

o Yes ______________________________________
o No
Anything else I should know about your child?
_____________________________________________
_____________________________________________
_____________________________________________