Mrs. Blake's Second Grade

Child's Name (Last name, First name) *

Name of Parent or Guardian *

Relationship to the child. *

Mother

Father

Grandparent

Other:

Email address *

My primary method of contact is Class Dojo and phone calls. Please share the number you can be reached by. *

Does your child have access to the internet at home to complete assignments or practice the online programs we use in class?

yes

no

Clear selection

Does your child have a food allergy I should be aware of ?

Yes

No

Clear selection

If Yes, please list below.

Thank you for your time.