LPMS 8th Grade Student Information Form
Please complete this form to provide essential contact and emergency information about your student. We will use this information to communicate important information to you via weekly newsletters and to better serve your child.
Student Name *
Your answer
Advisory Teacher *
Primary Parent/Guardian Contact
Please provide your preferred contact information to ensure we can easily communicate with you about your child's progress.
Parent/Guardian Name *
Your answer
Relationship to Student *
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Email *
Your answer
Secondary Parent/Guardian Contact
Please provide information below if there is an additional relative or guardian you would like us to be able to communicate with.
Alternate Contact
Your answer
Relationship to Student
Your answer
Alternate Contact Phone
Your answer
Alternate Contact Email
Your answer
Emergency/Medical Information
Please respond to the questions below so that we can have accurate information in case of emergency.
Does your child wear contact lenses? *
Does your child have any allergies we should be aware of (latex, foods, animals, scents, etc.)? *
Your answer
Does your child have any other medical needs we should be aware of (please describe how this illness or medical issue might affect him or her in class)?
Your answer
General Information
Please respond to the questions, providing general information that will allow us to better assist your child in our classes.
Does your child have consistent access to the internet at home?
Is there anything else you would like us to know about your child?
Your answer
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