red & green crayon Welcome to Kindergarten
Room 202     Mrs. Mueller
 
Student / Parent Information
 
Please fill out all fields as accurately as possible.
All special instructions and examples are in RED. 
 
Child's Information
First Name
Last Name
Child's Nick Name If there is no nick name please write None
Birthday example 01/01/01
Age
Mother's Information
First Name
Last Name
Phone Number example 973-123-4567
Father's Information
First Name
Last Name
Phone Number example 973-123-4567
Family Information
Address
Other siblings in this School Name
Name
Name		 Age
Age
Age
 
Child's Information
Child's Favorite Subjects
Check all that apply		 MathReadingScienceSocial StudiesArtMusicGym
Favorite Color
Favorite Holiday
Please check only ONE		 Valentine's DayEaster4th of JulyHalloweenThanksgivingChristmas
 Favorite snacks Please list as many as you wish
 
Site Designed and Maintained by J. Mueller
Last updated: 12/18/2006