Student Information
Thank you for taking the time fill in this information. I use this information to contact you throughout the year and to get to know your child so I can be as prepared as possible for the new school year. THANK YOU again!! Mrs. Ashlee Zimpfer
Student First Name *
Please enter your students first name.
Your answer
Student Last Name *
Please enter your students last name.
Your answer
Nickname
Does your child like to be called by a different name?
Your answer
Birthday *
When is your child'd birthday?
Your answer
Parent Name *
(mother)
Your answer
Parent Name *
(father)
Your answer
Home Phone *
Your answer
Mother's cell phone *
Your answer
Father's cell phone *
Your answer
Address *
Street address
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Preferred Email Address: *
You may enter more than one if you would like.
Your answer
Siblings in another grade?
Name____________ Grade________
Your answer
Helpful Hints About Your Child
What would be important for me (Mrs. Zimpfer) to know about your child as we begin this school year? *
Your answer
What are your child's favorite books and songs? *
Your answer
What are your child's interests? What motivates them? *
Your answer
How does your child approach learning... *
Required
How attentive and interested is your child in listening to books being read? *
Your answer
Does your child have any food allergies and/or medical issues I should know about? *
Your answer
What else would you like to tell me that might be insightful as I work with your child?
Your answer
Has your child participated in Imagination Library program? *
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