Pre- K Student Informational Sheet

Student Information
Student Name

First NameMiddle NameLast Name
Gender

FemaleMale
Date of Birth

MonthDayYear
Student Address

Physical Street Address

Mailing Street Address

CityState / Province

Postal / Zip Code
Student resides with
Parent 1

First NameLast Name
Relationship
Mother, Father, Guardian
Mobile Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Same with the childDifferent Address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2

First NameLast Name
Relationship
Mother, Father, Guardian
Mobile Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Same with the childDifferent Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you want to add something?
What are his/hers interest, what does he/she like to do ect. This will help your child's teacher on the first day.
Medical Information
Medical information your child's teacher should know.
Should be Empty: