Student Information

Circle if Applicable: Parents Married / Parents Separated / Parents Divorced / Father Deceased / Mother Deceased
Family Information
Please provide the following information of the parent not living with the child:
All Mailings and Email Communications
List of other people permitted to pick up your child:
Written or emailed request for your child to leave with someone else must be received by supervisor morning of the requested day.
Religious Information
Medical Information
If yes please provide Medical Permission Form and daily medication dispenser.

Social Links

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