We are thrilled to get to know more about you and your child during this upcoming school year.  We believe that a strong relationship between a child's home and school builds a secure and safe foundation from which each child can learn. This information will be kept in a confidential file and discarded at the end of the school year.  

Thank you for your cooperation with this important process.

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* 1. Child's Name:

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* 2. Child's Birthdate:

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* 3. Child's Nickname (what you want him/her called at school):

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* 4. What grade level is your child in this year?

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* 5. What are your child's dismissal plans?

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* 6. My child will be participating in Extended Play:

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* 7. If yes, my child will go to Extended Play on the following days:

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* 8. My child will start Extended Play

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* 9. Please list all of the adults living in your household and their relationship to your child:

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* 10. Please list all children living in your house and their age and gender:

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