Parent Contact Information Class 6-1 Mr. Elliott
Welcome to the new year. Please complete this form with your parents/guardians.
Student Last Name *
(e.g., Smith)
Your answer
Student First Name *
e.g., Your common first name (e.g., Jonathan --> Jon)
Your answer
Home Phone Number *
Format: 905-555-5555
Your answer
Grade
Parent/Guardian 1 (Primary Contact) *
Enter First and Last Name (e.g., Jon Smith)
Your answer
Relationship of Parent/Guardian 1 (Primary Contact) to student *
Parent/Guardian 1 (Primary contact) Email *
Use the format (e.g., parentofadam@ourhome.com) or enter NA if you do not have an email address
Your answer
Parent/Guardian 1 (Primary Contact) Daytime Phone *
e.g., Cell or work Phone Number
Your answer
Parent/ Guardian 1 (Primary Contact) *
The best way to contact me is:
Parent/Guardian 2
Enter First and Last Name (e.g., Jon Smith)
Your answer
Relationship of Parent/Guardian 2 to student
Parent/Guardian 2 Email
Use the format (e.g., parentofadam@ourhome.com) or enter NA if you do not have an email address
Your answer
Parent/Guardian 2 Daytime Phone
e.g., Cell or work Phone Number
Your answer
Parent/ Guardian 2
The best way to contact me is:
Other Parent/Guardians
Are there any other adults in charge of your care I should know about? If so, add their information below (First & Last Name, relationship to you, phone number and email)
Your answer
Submit
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