2C Parent and Student Contact Information
Please complete the following information and submit it back to Ms. Curran. Thank you!
Student Full Name *
Your answer
Student Nickname/Preferred Name
Your answer
Gender *
Required
Date of Birth *
Month/Date/Year
Your answer
Parent/Guardian 1
Name: *
Your answer
Relationship to Child *
Address *
Your answer
Phone Number(s) *
Home, Work and Cell Phone
Your answer
E-mail Address *
Your answer
I give permission for this email to be used by Ms. Curran as a way to send classroom information and updates for the 2016-2017 school year. This email will be part of a 2C group email list created by Ms. Curran and used as a main line of communication. *
Parent/Guardian 2
Name:
Your answer
Relationship to Child
Address
Your answer
Phone Number(s)
Home, Work and Cell Phone
Your answer
E-mail Address
Your answer
I give permission for this email to be used by Ms. Curran as a way to send classroom information and updates for the 2016-2017 school year. This email will be part of a 2C group email list created by Ms. Curran and used as a main line of communication.
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