2020 MS54 NEW STUDENT FAMILY FORM
Dear Parents,

MS54 families are requested to fill out the information below so that we can communicate with you during the school year.

If you have any questions, please contact Parent Coordinator Anne McIntosh Pejovich at amcintosh6@schools.nyc.gov

Thank you for your help.

The Administration, Faculty, Staff & PTA of MS54
STUDENT INFORMATION
Student OSIS number - School ID number (9 digits) *
Your answer
Student's First Name: *
Your answer
Student's Last Name: *
Your answer
Student's Primary Residence Telephone: *
XXX-XXX-XXXX
Your answer
Student’s Address: *
Your answer
PARENT/GUARDIAN #1 INFORMATION
Parent/Guardian #1 First Name: *
Your answer
Parent/Guardian #1 Last Name: *
Your answer
Parent/Guardian #1 Home Phone:
XXX-XXX-XXXX
Your answer
Parent/Guardian #1 Work Phone:
XXX-XXX-XXXX
Your answer
Parent/Guardian #1 Cell Phone:
XXX-XXX-XXXX
Your answer
Parent/Guardian #1 Email: *
Your answer
If you have not already subscribed to the MS54 newsletter, does the school have permission to add your email address to our electronic newsletter emailed weekly, or as important events require? *
Parent/Guardian #1 Preferred Language *
Parent/Guardian #1 Address:
(Leave blank if same as student address)
Your answer
Would you like to volunteer to be a class parent?
PARENT/GUARDIAN #2 INFORMATION
Parent/Guardian #2 First Name:
Your answer
Parent/Guardian #2 Last Name:
Your answer
Parent/Guardian #2 Home Phone:
XXX-XXX-XXXX
Your answer
Parent/Guardian #2 Work Phone:
XXX-XXX-XXXX
Your answer
Parent/Guardian #2 Cell Phone:
XXX-XXX-XXXX
Your answer
Parent/Guardian #2 Email:
Your answer
If you have not already subscribed to the MS54 newsletter, does the school have permission to add your email address to our electronic newsletter emailed weekly, or as important events require?
Parent/Guardian #2 Preferred Language
Parent/Guardian #2 Address:
Your answer
Would you like to volunteer to be a class parent?
Please enter the grade your child will be entering in September: *
THANKS FOR YOUR HELP!
Please click on the SUBMIT button when you have completed the form.
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