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Parent Survey
Student's first name *
Your answer
Student's last name *
Your answer
Nickname
Your answer
Birthday *
MM
/
DD
/
YYYY
Parent 1 name (first and last) *
Your answer
Parent 1 cell phone number *
Your answer
Parent 1 email address *
Your answer
Parent 2 name (first and last)
Your answer
Parent 2 cell phone number
Your answer
Parent 2 email address
Your answer
Who will pick your child up from school? Include name and phone number if different than above. *
Your answer
List any other emergency contacts you would like to have on file.
Your answer
List any food allergies or medical conditions. *
Your answer
Tell me something special about your child.
Your answer
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