Mrs. Lilleboe's Student / Family Information
Please fill out the form below to let me know about your child and family.
Email address *
Do you have any additional email address you would like added to my class group email list?
Child's First and Last Name *
Mom's / Guardian 1 First and Last Name *
Dad's / Guardian 2 First and Last Name *
Best Daytime Phone Number *
Second Best Daytime Phone Number *
Home Address, Including City and State *
How will your child go home on a regular basis? If bus, please list bus #. If daycare, please list daycare name. Other options include: YMCA, Car Rider (back of school, parent DOES NOT get out of car), Personal Pick-Up (front of school, parent parks the car and walks up to sign student out), Walker, Bike Rider. *
Does your child have any allergies or medical condition of which I need to be aware? If so, please explain. Otherwise, enter N/A. *
Is there anything else you would like for me to know about your child?
Does your child have internet access at home in order to complete schoolwork? *
Do I have your permission to share your contact information with our Room Parent so he/she can contact you regarding class / party information? *
Do I have your permission to list the contact information provided on this form in a class directory that will be emailed to families in this class? *
Media Release: Do I have your permission to post pictures of your child on my website, Class Dojo or in the classroom? *
If you are interested in volunteering this year, please check all that apply below. *
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