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Student Name:

_____________________________
Parent/Guardian(s) Name: __________________________________________
Relationship to Child: ______________________ Best Contact: ____________
Work Phone: _____________ Cell Phone: ____________________ Text? Y or N
Email: ___________________________ Best Time To Contact: _____________
Address: ___________________________________New to the District? Y or N

Bonus Points!
Email me a picture of your
family for five bonus point.
We will be using these in
our classroom.
Hil60000@obu.edu

Remind 101!!
Receive Homework
and Other Reminders!
Text @beshill to
1(458)206-5282

The Buzz About Your Child!


1. Does your child have any allergies or medical condition I should be aware of? ___________
____________________________________________________________________________
____________________________________________________________________________
2. Is there anything going on in your childs life that could affect their learning? ___________
____________________________________________________________________________
____________________________________________________________________________
3. What is your favorite learning experience you have had with your child? _______________
____________________________________________________________________________
4. How can I help your child feel comfortable in my classroom? ________________________
____________________________________________________________________________
5. How does your child get home from school? _____________________Bus #____________
6. What are your childs strongest and weakest subjects? _____________________________
____________________________________________________________________________
7. Do you have any fears about your child this school year? ____________________________
____________________________________________________________________________
8. What else should I know about your child (Use back)? ______________________________
____________________________________________________________________________
Parent Signature: ____________________________________________ Date: ____________
Student Signature: ___________________________________________ Date:_____________

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