Back to School Information - PARENTS

Welcome back Students and Parents. Please answer the following questions to help both myself and the school have a smooth, fun filled year!

Name


A red asterisk (*) indicates required questions.


  1. Student Name and Nickname*


  1. Mother Name:
    Mother Phone Number:
    Mother Email Address:*


  1. Father Name:
    Father Phone Number:
    Father Email Address:*


  1. Does your Child have any allergies? If so what are they and how do you treat them?*


  1. Emergency Contact Number in case of an emergency:
    *


  1. How does your child get home? Please type ONE unless their are special circumstances:
    Carpool
    Bus
    Aftercare
    Walker*


  1. How comfortable are you (the parent) with the internet and email?*
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General Education Teacher - 4th grade
Somerset Academy Miramar
Miramar, FL