Polar Bears Information Sheet 2019-2020
Student First Name *
Your answer
Name student prefers to be called *
Your answer
Student Last Name *
Your answer
Homeroom Teacher *
Preferred Contact Number
Your answer
Mother/Guardian Name
Your answer
Mother/Guardian Cell Number
Your answer
Mother/Guardian Work Number
Your answer
Father/Guardian Name
Your answer
Father/Guardian Cell Number
Your answer
Father/Guardian Work Number
Your answer
Parent (Guardian) Email #1 *
Your answer
Parent (Guardian) Email #2
Your answer
Preferred Contact *
Does you child have internet access at home? *
Do you use parent portal? If you DO NOT have parent portal please stop by the cafeteria and sign-up! *
Would you be willing to donate a snack/gift for any PBIS reward activity? *
Does your child have any medical concerns/issues? *
Your answer
Any other comments or concerns?
Your answer
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