Reclaimed Student Directory Information
Student First Name
Your answer
Last Name
Your answer
Student Birthday
MM
/
DD
/
YYYY
Class of
Parent(s) Name(s)
First Names of Parents
Your answer
Street Address
Your answer
City, Zip
Your answer
Phone Numbers
Student phone number
Please use this format xxx-xxx-xxxx
Your answer
Student number okay to receive text?
Home phone number
Please use this format xxx-xxx-xxxx (Hm)
Your answer
Parent phone number #1
Please use this format xxx-xxx-xxxx (mom) or xxx-xxx-xxxx (dad)
Your answer
Parent phone number #2
Please use this format xxx-xxx-xxxx (mom) or xxx-xxx-xxxx (dad)
Your answer
Email Information
Student Email
Your answer
Parent Email #1
email@provider (mom) or email@provider (dad)
Your answer
Parent Email #2
email@provider (mom) or email@provider (dad)
Your answer
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