1-R Student & Parent Information
Dear 1R Families,

I am so excited to meet your first grader! To help me prepare for this upcoming school year, please complete this form. This information will help me learn more about your family and communicate with you. Note: your responses are exclusively for my own classroom use.

I am looking forward to a great year!

Student's First Name
Your answer
Student's Last Name
Your answer
Student's date of birth:
MM
/
DD
/
YYYY
Preferred Name /Nickname
How I label your child's folders, table spot, etc.
Your answer
Gender
Primary language spoken at home
Your answer
Does your child understand any additional languages?
If yes, please list
Your answer
Student's Kindergarten teacher
Student's Primary Address
Use this format (# Street Name, Town, State, Zip Code)
Your answer
Student's Primary Home Phone Number
Your answer
Parent/ Guardian 1
First Name
Your answer
Parent/ Guardian 1
Last Name
Your answer
Parent/ Guardian 1
Parent/ Guardian 1
Cell Phone Numbers
Your answer
Parent/ Guardian 1
Occupation
Your answer
Parent/ Guardian 1
Work Number
Your answer
Parent/ Guardian 1
Email
Your answer
Do you give permission for this email to be used for classroom purposes?
Parent/ Guardian 2:
First Name
Your answer
Parent/ Guardian 2:
Last Name
Your answer
Parent/ Guardian 2
Parent/ Guardian 2
Cell Number
Your answer
Parent/ Guardian 2
Occupation
Your answer
Parent/ Guardian 2
Work Number
Your answer
Parent/ Guardian 2
Email
Your answer
Do you give permission for this email to be used for classroom purposes?
Siblings
List name(s) and age(s). If at Baker School, please indicate grade and homeroom, if known.
Your answer
End of Day Dismissal Plan
Please check all that apply
Required
End of Day Dismissal
Please list all people who have your permission to pick up your child.
Your answer
If a parent or guardian will pick up your child, please select one of the following meeting spots. Note: if your child is being picked up by a sibling, you will make an individual plan.
This will be the place you meet your child at dismissal:
End of Day Dismissal Plan continued
If transportation is different daily, please list the specifics below.
Your answer
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