Family Information Sheet
2009-2010
 
Please complete ALL sections.
At least one email address is required so that you can receive school information and flyers about upcoming events.
 

Mother's Name
*
Mother's Social Security Number
Mother's Cell Phone
Mother's Home Phone
Mother's Work Phone
Mother/Parent Email Address *

Father's Name *
Father's Social Security Number
Father's Cell Phone
Father's Home Phone
Father's Work Phone
Father's Email Address *

Child1 Name *
Child1 Grade *

Child2 Name
Child2 Grade

Child3 Name
Child3 Grade

Who has permission to pick your child(ren) up from school? Please list anyone other than yourself who will  be picking up your child.
 

 

If your child(ren) have your permission to walk home please indicate by completing this:

My child(ren)
 have permission to walk home from school at the end of the school day. In case of an emergency, like an earthquake, I understand that they will be held at school and I will need to come to sign them out.

 

 

October 9, 2010

 

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