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Mrs. Campos Student Information Form
2023-2024
Hello and welcome to Frist grade with Mrs. Campos Class North Beach Elementary. Please complete the form below. This information is private and will only be seen by the teacher. I look forward to working with you this school year. Thank you.
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* Indicates required question
Student's Full Name
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Your answer
Student likes to be called
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Your answer
Student's Date of Birth
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MM
/
DD
/
YYYY
Student ID Number
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Your answer
Student's Address
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Your answer
Student's Primary Language Spoken at Home
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Your answer
Parent/Guardian #1 First and Last Name
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Your answer
Parent/Guardian #1 Phone Number
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Your answer
Parent/Guardian #1 Email
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Your answer
Parent/Guardian #2 First and Last Name
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Your answer
Parent/Guardian #2 Phone Number
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Your answer
Parent/Guardian #2 Email
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Your answer
Does Parent/Guardian #2 want to receive class emails and notifications?
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Yes
No
Additional Emergency Contact (Full Name and Phone Number)
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Your answer
Allergies and/or Medical Concerns (Write N/A if none)
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Your answer
How will your child go home at dismissal ON THE FIRST DAY?
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Parent Pickup
Bus
NBE Aftercare
Muss Park Aftercare
JCC Aftercare
Other:
Where did your child attend kindergarten? If here, which teacher?
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Your answer
Please list any siblings and age below. (N/A for none)
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Your answer
Does your child have siblings who also attend NBE; if so what teacher and grade?
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Your answer
Can your child have his/her picture taken/displayed? (yearbook, class site, Classdojo, etc.) **Note: On Media Release Form, please check YES if you answer yes to this question.
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Yes
No
Does student have access to a personal computer or laptop?
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Yes
No
Does student have access to a stable internet connection?
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Yes
No
Sometimes
Does student have access to their student portal?
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Yes
No
Unsure
Do you have access to your parent portal?
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Yes
No
Unsure
What goals do you have for your child this school year?
Your answer
What are your child's strengths?
Your answer
What are your child's weaknesses?
Your answer
In what areas do you wish to see your child improve?
Your answer
What activities does your child enjoy? (i.e. sports, reading, dancing, art)
Your answer
What motivates your child?
Your answer
What upsets your child?
Your answer
Are there any personal issues I should be aware of?
Your answer
Which of the following holidays do you celebrate at home?
Halloween
Christmas
Hannakah
Birthdays
Any additional information you wish to share with the teacher about your child or family?
Your answer
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