Frau Wilson's Student Information Form 2014-15
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First and Last Name *
(Please put perferred nickname in ( ).
What class are you in this year? *
When is your birthday?  (month/day) *
How old will you be on your next birthday? *
What is your email address (one you check most often)? *
Parent/Guardian #1 Name *
Parent/Guardian #1 Daytime Email Address *
Parent/Guardian #1 Daytime Phone *
Parent/Guardian #2 Name *
Parent/Guardian #2 Daytime Email Address *
Parent/Guardian #2 Daytime Phone *
Do you have any food allergies or other health concerns you think I should be aware of? *
If you could only have one, would you most like to have unlimited TV, unlimited movies, or unlimited books? *
Based on how you answered the previous question, what is your favorite TV show, movie, or book? *
Please check here confirming that you have read Frau Wilson's Class Procedures document (available on the Deutschhilfe site). *
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