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Ms. Kraftschik's 2016-2017 Contact Information
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Students Name
*
Your answer
What is your child's birth date?
MM
/
DD
/
YYYY
Mothers Name
*
Your answer
Mothers Phone Number
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Your answer
Mothers Email
Your answer
Fathers Name
*
Your answer
Fathers Phone Number
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Your answer
Fathers Email
Your answer
Student lives with:
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Both Parents
Mom
Dad
Shared Custody
Other (Please write me a note of who they live with)
Students Address
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Your answer
How will your child go home in the afternoon everyday?
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Car rider
Walker
bus
ASP
What color bus and/or bus number will your child ride? (fill this out, even if your child will not ride the bus on a daily basis) To determine your child's bus color/number, please visit
http://edulogwebs1.cobbk12.org/edulog/webquery/
*
Your answer
Does your child have any allergies? If yes, what are they?
Your answer
Does your child have permission to watch PG movies for educational purposes?
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Yes
No
Do you have any other children at Teasley? If yes, write the name of your child, and their homeroom teachers name.
Your answer
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