St. Stanislaus Kostka School - Back to School 2020
Back to School Packet MUST be completed by each family.
Email address *
Family Last Name *
Emergency Pick Up and Information
It is very important that the school has information which can be used should your child become ill or has some kind of accident. This information we carry with us should we have to go to the hospital. If this information changes during the year, please notify the office as it is the parents/guardians responsibility to keep this updated.
Child's Name #1 (Last Name, First Name) *
Child's Name #2 (Last Name, First Name)
Child's Name #3 (Last Name, First Name)
Birthdate Child #1 *
MM
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DD
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YYYY
Birthdate Child #2
MM
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DD
/
YYYY
Birthdate Child #3
MM
/
DD
/
YYYY
Grade for Child #1 *
Grade for Child #2
Grade for Child #3
Address - Children live during the week *
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