Orrs Student Information Sheet
Please fill in every question on this form.

You can fill out one form for your household and include all of your children in one form. If you prefer, you can fill out separate forms for each child. If you have any concerns or questions, please let us know. You can call 770-229-3743 or email janie.rivera@gscs.org

Thank you!
Email *
Student's First and Last Name *
Student's First and Last Name (#2)
Student's First and Last Name (#3)
Student's First and Last Name (#4)
Student's First and Last Name (#5)
Grade Level- Check all that apply if you have multiple children at Orrs. *
Required
Student's Street Address *
Parent/Guardian's Name *
Parent/Guardian's Cell Phone Number *
Parent/Guardian's Home Phone Number (if this is the same as your cell phone, just type your cell phone again please) *
Relationship to the Student (Mother, Father, etc.) *
Parent/Guardian's Name
Parent/Guardian's Cell Phone Number
Parent/Guardian's Home Phone Number
Relationship to the Student (Mother, Father, Stepmother, etc.)
Parent Email Address *
Emergency Contact #1 Name (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.) *
Emergency Contact #1 Relationship to Student Example: Grandma, Aunt, Friend, etc. (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.) *
Emergency Contact #1 Phone Number (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.) *
Emergency Contact #2 Name (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.)
Emergency Contact #2 Relationship to Student Example: Grandma, Aunt, Friend, etc. (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.)
Emergency Contact #2 Phone Number (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.)
Emergency Contact #3 Name (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.)
Emergency Contact #3 Relationship to Student Example: Grandma, Aunt, Friend, etc. (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.)
Emergency Contact #3 Phone Number (This is someone other than parents, whom we may contact if we cannot reach you and to whom you give permission to pick up your child from school.)
Please list any medical conditions for your child(ren). If you do not have anything to list, please type N/A. *
If school was back in the building, how would your child(ren) get home? *
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