Student Information Sheet: Please print in ink.

Return to school no later than

Monday.
Name _______________________________________ Birthday ______/______/______
Afternoon Transportation: Place a check or the bus # for each day of the week.
Monday

Tuesday

Wednesday

Thursday

Friday

Bus #
Carpool
Aftercare
Is your child: Circle only ONE
a) Only child (no brothers/sisters attending our school)
b) Youngest child attending (have only older siblings attending our school)
C) Has younger siblings attending (may also have older siblings at our school)
Sibling(s) & grade_______________________________________________________________________
Email Address __________________________________________________________________________
**Do you have regular access to the Internet so weekly letters/announcements could be
sent to you? Please check ONE of the following:
____YES, I would be able to receive info via Email
home

____ NO, I would need a copy sent

Contact Information:
Mother/guardian _____________________________________________________
Work Ph _______________ Cell Ph _________________ Home Ph _________________
Father/guardian _____________________________________________________
Work Ph _______________ Cell Ph _________________ Home Ph _________________
Emergency Contact (other than a guardian)
______________________________________________
Relationship __________________________ Phone ___________________________
Please write anything you feel I should know or any concerns you might have below.