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Student Information Sheet
Please complete the following information sheet for each child in your household who attends Robert E. Cashion Elementary. Submit one sheet for each child.
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* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Teacher's Name
*
Your answer
Parents/Guardians
*
Your answer
Mother's Phone Number
Your answer
Has Mother's Phone Number changed since 2019 - 2020
Yes
No
Maybe
Clear selection
Father's Phone Number
Your answer
Has Father's Phone Number changed since 2019-2020
Yes
No
Maybe
Clear selection
Full Address (Include Number, Street name, and Zip Code)
*
Your answer
Has your address changed since 2019 - 2020?
*
Yes
No
Maybe
Primary e-mail address
Your answer
Emergency Contact #1 and Relationship
*
Your answer
Emergency Contact # 1 Phone Number
*
Your answer
Has this Emergency Contact #1 Number changed since 2019-2020?
*
Yes
No
Maybe
Emergency Contact #2 Name and Relationship
Your answer
Emergency Contact # 2 Phone Number
Your answer
Has this Emergency Contact #2 Number changed since 2019-2020?
Yes
No
Maybe
Clear selection
Emergency Contact Name and Relationship #3 (Optional)
Your answer
Emergency Contact # 3 Phone Number (Optional)
Your answer
Has this Emergency Contact #3 Number changed since 2019-2020?
Yes
No
Maybe
Clear selection
Emergency Contact Name and Relationship #4 (Optional)
Your answer
Emergency Contact # 4 Phone Number
Your answer
Has this Emergency Contact #4 Number changed since 2019-2020?
Yes
No
Maybe
Clear selection
Transportation Home:
*
Car
Bus
Daycare
REC Extended Day Program with Mrs. CC
Car Tag Number
Your answer
Bus Tag Number (if applicable)
Your answer
Day Care Name (if applicable)
Your answer
List any individuals NOT ALLOWED to pick up your child from school. If it is a non-custodial parent, there must be a court order stating they cannot pick up the child. If none, please type NONE
*
Your answer
Did you notify the school last year about the individuals above last school year?
Yes
No
Maybe
Clear selection
List any siblings presently attending Robert E. Cashion Elementary School. (Include Name, Grade Level, and Teacher)
Your answer
Please review the Technology Responsible Use agreement then click yes to “sign”.
https://docs.google.com/document/d/1oSKxKo2zX36veIxu56TBCSC-DhSzSLq3dhPqjgM5LnE/edit?usp=sharing
Yes
Clear selection
I will notify the office ASAP of any changes to the information above. Accurate information insures quick contact in case of emergencies!
*
:Yes
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