1-D Student & Parent Information
Dear 1D 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!

Kait Doherty

Student's First Name
Your answer
Student's Last Name
Your answer
Student's date of birth:
MM
/
DD
/
YYYY
Preferred Name /Nickname
How should 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
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
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
1-D's meeting spot for dismissal will be at the bottom of the playground stairs. If you are picking your child up at the end of the day, plan to meet them there. Please check all that apply.
End of Day Dismissal
Please list all people who have your permission to pick up your child.
Your answer
End of Day Dismissal Plan continued
If transportation is different daily, please list the specifics below.
Your answer
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