Student/Parent Information Form
Please take a few moments to fill out this information form . This will help me to stay in contact with you throughout the school year. If you have any questions, please feel free to email me at

Thank you for taking the time to answer these quick questions about you and your child!
I look forward to working with you and your student!

Ms. Randall
Science Department
William Floyd HS

Student's First Name
Your answer
Student's Last Name
Your answer
Home Phone
Your answer
Cell/Work Phone
Please enter the best number to reach you during the day.
Your answer
Mom's First Name
Your answer
Mom's Last Name
Your answer
Dad's First Name
Your answer
Dad's Last Name
Your answer
Students Lives With...
Parent Email Address
I will use this email to send you updates and info about your child & our class
Your answer
Parent Email Address #2
If you have a second email you'd like me to also use, please enter it here.
Your answer
Is there any additional information I should know about you or your child?
Your answer
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