Ms. Williamson's Parent Contact Form
Wilmington Manor Elementary School
Room 13

Please fill out the form below and hit submit. I am the only one who will see the information you supply.
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Child Information
Child's Name *
Does your child have a nickname? If yes please type it in the box below.
Child's Age
Child's Birthdate *
MM
/
DD
/
YYYY
Allergies/Medical Information
Please list any allergies or medical information about your child of which I should be aware.
Contact Information
Home Address *
Please include the street address, city, state, and zip code.
Mother's First and Last Name
Mother's Cell Phone Number or Primary Number
Please list name and phone number
Mother's e-mail address
Father's First and Last Name
Father's Cell Phone Number or Primary Number
Please list name and phone number
Father's e-mail address
Other Phone Numbers You Wish to Share
Please list name and number(s)
Child Lives With
Transportation
Who will be helping with your child's virtual learning? *
Emergency Contact
Please type in the person's full name and phone number.
Additional Information
Please let me know if you have any questions or if there is any information I need to know about your child.
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