2023-24 Mrs. Haagensen's Parent/Guardian Input Form
Welcome to my 5th grade classroom! I am so excited to be your child's teacher this year!

Please take a few moments to fill out the following information so I have it for my records. Welcome back or welcome to the Haagensen Hawk family!
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Email *
Student's First Name: *
Student's Last Name: *
My student prefers to be called (how should it be pronounced?) *
What are your child's preferred pronouns? *
Student's Age *
Student's Birthday *
If your child doesn't celebrate their birthday or certain holidays, please let me know here:
What email(s) would you like me to use when I send out our weekly news? *
1st Parent's Name: *
1st Parent's Cell Phone: *
2nd Parent's Name:
2nd Parent's Cell Phone:
2nd Parent's Email:
Does student live with both parents? *
How would your student usually get home each day? *
Student allergies? *
Student's Hobbies/Interests: *
Things your child does well: *
Concerns about your child: *
What would you like your child to accomplish this year: *
What is your child's favorite song?  (We will use these to create a class playlist so please make sure it is school appropriate - no swear words or suggestive language.) *
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