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Student Information Form
Hello Parents! Please fill out the basic contact information below. When you are finished, please press "submit" at the bottom of the page. Thank you!
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Indicates required field
Student's Name
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First
Last
Nickname (if applicable)
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Student's Birthday
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Home Phone Number
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If you don't use a home phone just put all zeros in the boxes.
Home Address
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Who is the primary person to contact for your child's school needs?
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Mother
Father
Both
Mother's Name
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First
Last
Mother's Phone Number
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Mother's Email
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Father's Name
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First
Last
Father's Phone Number
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Father's Email
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Child lives with:
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Mother and Father
Mother Only
Father Only
Other Relative
Caregiver
Child's Afternoon Transportation
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Please include the bus number if your child rides the bus home.
Emergency Contact
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First
Last
Emergency Contact's Phone Number
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Applicable Medical Information
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Any siblings at Creek View?
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Please list the child's name, grade level, and teacher's name.
Anything else I should know?
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Submit