Contact Information for 6th Grade Classes
Thank you for taking the time to provide this important information! Please fill in the form below and click submit. This information will be used by 6th Grade Teachers to contact you when needed and to make sure that your child's allergy and medical needs are met in our classrooms. Having this information in digital form will also make it easier for us to communicate with you during the school year. (It also saves paper!)
Student Information
Your Child's First Name
Your answer
Your Child's Last Name
Your answer
Your Child's Class
Gender
Your Child's Birthday MM/DD/YYYY
Example: 09/09/2015
Your answer
Interests, Talents, and Skills
Please provide us with information you want us know about your child that will help us get to know him/her outside of our subjects! For example-does he or she like to cook? Does he/she play a sport that he/she is especially passionate about? Have you traveled somewhere as a family that he/she particularly enjoys? Is there a subject in school that he/she loves? Is there an area of science that he/she has a preference for? A favorite book or artist?
Your answer
Preferred Contact Information
We will contact this person first.
Preferred Contact Person's First Name
Your answer
Preferred Contact Person's Last Name
Your answer
Relationship to child
Email Address
Your answer
Cell phone number
Your answer
Home Phone Number
Your answer
Work Number
Your answer
Secondary Contact Information
We will contact this person if we cannot reach the first contact provided.
Secondary Contact Person's First Name
*Optional
Your answer
Secondary Contact Person's Last Name
*Optional
Your answer
Relationship to child
Email Address
*Optional
Your answer
Cell phone number
*Optional
Your answer
Home Phone Number
*Optional
Your answer
Work Number
*Optional
Your answer
Medical Information
The information you provide below is voluntary and will be used solely for the purpose of safely planning classroom activities and trips.
Allergies
Please provide information about food, latex or other allergies we would need to take into consideration when planning learning activities. If none, please type "NONE"
Your answer
Medical Conditions
Please provide information about any medical conditions we would need to be aware of such as asthma, epilepsy, diabetes etc. If none, please type "NONE"
Your answer
Sign Form
Please put your initials in the box below to confirm that you are the person who filled out the form.
Your answer
Submit
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