Early Morning Care Registration
Helena Elementary School
Student's First Name
Your answer
Student's Last Name
Your answer
Grade
Teacher's Name
Your answer
My Child will be:
Primary Email Address
Your answer
Emergency Contact Information
In case of an emergency, we need to have a number where you can be reached. The emergency contact CAN be a parent if you choose!
Name of Emergency Contact
Your answer
Emergency Contact Phone Number
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Shelby County Schools. Report Abuse - Terms of Service - Additional Terms