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Family Information Questionnaire
Thank you for taking the time to fill out this info about your child and family. I believe in building strong relationships with my students and their families.
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* Indicates required question
What is your child's first and last name?
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Your answer
Does your child go by a nickname?
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Your answer
When is your child's birthday?
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MM
/
DD
/
YYYY
What is your child's primary address?
Your answer
Please list all family members who live in the child's primary household, their relationship to the child, and ages (if siblings). I don't need parent ages! LOL!
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Your answer
Does the student have a secondary home that he/she splits time with? If so, please list the family members. Please share the days of the week your child stays at this home.
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Your answer
Are their any other languages spoken at home? If yes, please share which language.
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Your answer
Please list each parents's name and the best email address to send important classroom information.
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Your answer
Please list each parent's occupation/place of employment.
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Your answer
How does your child get home each day?
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bus
car/walker
aftercare
Other:
If your child takes the bus, please share their bus number below.
Your answer
Does your child have any food allergies or medical conditions?
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Your answer
Please share an emergency contact name/phone number.
Your answer
What other information should I know about your child?
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Your answer
Do you have any questions for your child's teacher?
Your answer
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