Please fill out if your child goes by anything other than their first name.
Your answer
Parent/Guardian Name(s) *
Your answer
Parent/Guardian Telephone Number(s)
Please give the BEST phone number to reach each parent/guardian listed above.
*
Your answer
Parent/Guardian Email Address(es) *
Your answer
Are there any languages other than English spoken at home? *
If yes, will any documents sent home require translation? If yes, please list language below:
Your answer
I will be making a Class Directory to share out to all classroom families. It will include student names, parent/guardian names, emails, and phone numbers. Can I include your information on our Class Directory? *
Dismissal Procedures: Please choose a dismissal routine for each day of the week. *
Walker/Parent Pickup
Bus
After-School Program
Monday
Tuesday
Wednesday
Thursday
Friday
Walker/Parent Pickup
Bus
After-School Program
Monday
Tuesday
Wednesday
Thursday
Friday
If you chose bus as a dismissal procedure, please fill in bus number.
Your answer
Does your child have siblings in the building? If so, please list sibling name and teacher.
Your answer
Are there any holidays NOT listed on the MURSD calendar that your family celebrates? *
If yes, please list below:
Your answer
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This form was created inside of Mendon Upton Regional School District.