Student Information 2017-2018
Please complete the following information for your student. Once complete, please hit the "submit" button at the bottom of the page. Thank you!
Select your child's teacher *
Child's Last Name *
Your answer
Child's First Name *
Your answer
Nickname *
Your answer
Date of Birth *
Your answer
Primary Parent Contact *
Please list who you would like to be the PRIMARY parent contact
Your answer
Primary Contant Phone # *
Please list a working phone number for the PRIMARY parent contact
Your answer
Primary Contact Email *
This will be the only one contacted unless a secondary email is specified.
Your answer
Secondary Contact
ONLY list a secondary email if you would like them to be contacted for classroom news, parties, etc.
Your answer
Secondary Contact Phone #
Your answer
Secondary Contact Email
Your answer
Emergency Contact *
Please list someone other than the parents/guardian
Your answer
Transportation GOING HOME FROM SCHOOL on the FIRST DAY *
Please list only how your student will go home from school on the first day
Bus Number
Your answer
Transportation AFTER school for the REMAINDER of the year *
Please list bus number or daycare center used for the REMAINDER of the year
Please only list information for after school transportation
Your answer
Siblings at Patsy Sommer *
Your answer
Allergies *
Please list ALL allergies your child has.
Your answer
I grant permission for my child's teacher to share PRIMARY contact information with the homeroom parent *
This person will inform you about classroom events: field trips, parties, volunteer opportunities
I grant permission for my child's teacher to take and publish pictures and video of my child for classroom use only. *
Pictures/videos are shared via email and/or classroom web page only
I grant permission for my child's teacher to share PRIMARY contact info with other parents for any outside events (i.e. birthday parties, play dates, etc.). *
Primary email ONLY will be shared unless otherwise stated to teacher
I would be interested in volunteering this year *
This would include things like helping in the classroom, cutting things out at home, making copies, etc. Your teacher will contact you if you are interested.
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