1-B Student and Parent Information
Dear 1B Families,
I am so excited to meet your first grader! To help me prepare for this upcoming school year, please complete this form. This information will help me learn more about your family and communicate with you. Note: your responses are exclusively for my own classroom use.

I am looking forward to a great year!

Email address
Student's First Name
Your answer
Student's Last Name
Your answer
Student's Date of Birth
MM
/
DD
/
YYYY
Student's Preferred Name / Nickname
How I label your child's folders, table spot, etc.
Your answer
Student's primary language spoken at home
Your answer
Does your child understand any other languages?
If yes, please list.
Your answer
Student's Kindergarten Teacher?
Required
Student's Primary Address
Use this format (# Street Name, Town, State, Zip Code)
Your answer
Student's Primary Home Phone Number
Your answer
Parent / Guardian 1
First Name
Your answer
Parent / Guardian 1
Last Name
Your answer
Parent / Guardian 1
Relationship to Student
Parent / Guardian 1
Cell Phone
Your answer
Parent / Guardian 1
Occupation
Your answer
Parent / Guardian 1
Work Phone Number
Your answer
Parent / Guardian 1
Primary E-mail
Your answer
Do you give permission for this email to be used for classroom purposes?
Parent / Guardian 2
First Name
Your answer
Parent / Guardian 2
Last Name
Your answer
Parent / Guardian 2
Relationship to Student
Parent / Guardian 2
Cell Phone
Your answer
Parent / Guardian 2
Occupation
Your answer
Parent / Guardian 2
Work Phone Number
Your answer
Parent / Guardian 2
Primary E-mail
Your answer
Do you give permission for this email to be used for classroom purposes?
Siblings
List name(s) and age(s). If at Baker School, please indicate grade and homeroom, if known.
Your answer
End of Day Dismissal Plan
Please check all that apply
Required
End of Day Dismissal Plan
End of Day Dismissal Plan
If you selected "Some Differences" above, please list your daily dismissal plan specifics below.
Your answer
End of Day Dismissal Plan
Please list all people who have your permission to pick up your child (required even if your child takes the bus or will attend Extended Day).
Your answer
Additional Comments
Please use this space to share any additional information.
Your answer
Thank you! I appreciate your time. I am looking forward to a great year together!
Please complete the captcha before submitting the form.
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