) svn ar whol Wo » Re ee eee student Name: pate of wirth: Name of parent (s)/euandian? Home Address: Please startne best way for You to be contacted if needed Home phone: Mom's werk Moms cell ad?s work: vad’s cell @. Emergency Contact Fetson (This information must be on file with the front office). Contact person/relationship to student. Phone umber: 4. Bre any languages other than english spoken at home? +8 what is the primary way Your child will go home each day? *Please send a note if there are going to be any changes in dismissal 4. Do You have any special concems about Your child? (academically, sociclly, medically, ete.2? 10, Please list ary Foods, stings, etc. that may cause allergic reactions with Your chil iLplease list two goals You would like To set For Your child this Year 12, Please tell me, in one hillion words or less, if there anything else | shoula know about “jour child, Feel free te brag! use the back if You need te, Terkeas ©2017