Student/Parent Information Survey

This information is used for updating office records and for the school directory. Please fill out completely and be sure all spelling, capital letters and characters are filled in correctly. For blended families, both parents' information is necessary for each student. Any information that you do not want published in the directory should be followed by an asterisk. *

*
1. Father's Information

Father's Information Father's First Name:
Father's Last Name:
Address:
City/Town:
State:
ZIP:
Cell Number
Email Address:
Home Number:

*
2. Mother's Information

Mother's Information Mother's First Name:
Mother's Last Name:
Address:
City/Town:
State:
ZIP:
Cell Number
Email Address:
Home Number:

*
3. Student #1

Student #1 Student #1 First Name:
Student #1 Last Name:
Grade/Class: (For Example 4P)

4. Student #2

Student #2 Student #2 First Name:
Student #2 Last Name:
Grade/Class: (For Example 4P)

5. Student #3

Student #3 Student #3 First Name:
Student #3 Last Name:
Grade/Class: (For Example 4P)

6. Student #4

Student #4 Student #4 First Name:
Student #4 Last Name:
Grade/Class: (For Example 4P)

Student/Parent Information
Exit this survey

1. Default Section

*
1. Father's Information

*
2. Mother's Information

*
3. Student #1

4. Student #2

5. Student #3

6. Student #4

Student/Parent InformationExit this survey

1. Default Section

*1. Father's Information

*2. Mother's Information

*3. Student #1

4. Student #2

5. Student #3

6. Student #4

Student/Parent Information
Exit this survey

*
1. Father's Information

*
2. Mother's Information

*
3. Student #1