First Grade Information
22-23 School Year
Child's full Name
*
First Name
Last Name
Preferred Name (if different)
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Home Phone Number (Main Contact)
*
-
Area Code
Phone Number
Medical Information (Allergies and medical needs, equipment or conditions you feel I need to know about. Please write NONE if not applicable.)
*
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First Grade Information
Parent Contacts
Mom's Full Name
*
First Name
Last Name
Preferred E-mail
*
frome
May I add this email for Mom to my weekly class newsletter list?
*
Yes, please!
No, thank you.
Other
Mom's Best Contact Number
*
-
Area Code
Phone Number
Dad's Full Name
*
First Name
Last Name
Preferred E-mail
*
May I add this email for Dad to my weekly class newsletter list?
*
Yes, please!
No, thank you.
Other
Dad's Best Contact Number
*
-
Area Code
Phone Number
Please indicate the times of the day that work best for you should I need to call or schedule a conference.
Before School
During School (Teacher plan breaks)
After School
ANYTIME (before 9pm)
Not a Good Day
Monday
Tuesday
Wednesday
Thursday
Friday
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First Grade Information
Family Life at Home
Sibling 1
Name
Age
Grade
Sibling 2
Name
Age
Grade
Sibling 3
Name
Age
Grade
Sibling 4
Name
Age
Grade
Pets at home:
Name and types of animals
Technology available to your child at home
Yes, with Internet Access
Yes, NO Internet
NO
Computer
Tablet
Smart Phone
App Store your family uses
Apple iOS
Google Play
Amazon
Not/Applicable
Other
Gaming Stystems
Nintendo 3DS
Nintendo Switch or Switch Lite
Playstation 4 or 5
Xbox Series S or X
None
Other
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First Grade Information
Transportation
First Day of the Year Transportation
*
Car
Aftercare
Other
Remainder of the Year Transportation (Mark only one per row)
Car (Back of School)
Aftercare
Other
Monday
Tuesday
Wednesday
Thursday
Friday
Please explain if you chose "Other" on any of the above days.
*
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First Grade Information
YOU are your child's first TEACHER!
You know him/her better than anyone else in the world. I would love to start the year out with a glimpse of who your child really is. I am asking you to write to me about your child in a million words or less! What makes him/her so amazing? What does (s)he struggle with? What are his/her hobbies and special talents? What motivates and/or upsets your child? What are the out of school interests? If we were to sit down for 20 minutes over coffee, what would you want to share with me about your child? This information is confidential and for my eyes only.
*
Who filled out this form?
*
Mom
Dad
Other
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