2016-2017 Parent/Guardian Information
This form provides me with contact information regarding you and your child.
Child *
Your answer
Child's Shirt Size *
For possible upcoming events
Child's Birthdate *
MM
/
DD
/
YYYY
Primary Parent/Guardian Contact Name *
Your answer
Primary Parent/Guardian Cellphone *
Your answer
Primary Parent/Guardian email address *
Your answer
Primary Parent/Guardian Work Phone *
Your answer
Primary Parent/Guardian Home phone *
Your answer
Secondary Parent/Guardian Name *
If none please type N/A
Your answer
Secondary Parent/Guardian Cellphone *
If none please type N/A
Your answer
Secondary Parent/Guardian email address *
If none please type N/A
Your answer
Secondary Parent/Guardian Work Phone *
If none please type N/A
Your answer
Secondary Parent/Guardian Home phone *
If none please type N/A
Your answer
In a million words or less please tell me about your child. What is important for me to know? What makes them who they are? This can be anything from the fact they prefer green jellybeans to they are only an only child to that they live between two households. *
This information can only be seen by Ms. Rosenthal and will not be shared.
Your answer
Are you willing to be...
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