Parent/Guardian Information Form
Student Last Name *
Your answer
Student First Name *
Your answer
Parent/Guardian Name *
Your answer
Best Email for Parent Contact
Your answer
Best Phone Number for Parent Contact *
Include more than one phone number if necessary.
Your answer
Please list any contacts (names and phone numbers) to use in case of an emergency.
Other contacts other than the one above.
Your answer
Are there any health concerns for this student?
If yes, please briefly describe the concern.
Your answer
How does your child get home? *
Required
What does your child need/want to have a successful school fifth grade school year?
Your answer
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This form was created inside of Buncombe County Schools.