Student Information

Please complete only 1 of these forms. You can add multiple students to this one form.

Student First Name *
Your answer
Student Middle Name
Your answer
Student Last Name *
Your answer
Preferred Name
What name does your child go by?
Your answer
Gender *
Birthdate *
Grade *
Teacher Name
Age *
Your answer
Legal Residence (911 Address) *
Your answer
Mailing Address
Type "Same" if the mailing address is the same as the residence address.
Your answer
Transportation *
Bus Number/Driver
Your answer
Allergies *
Please list all known allergies.
Your answer
Primary Caregiver(s) *
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