boy girl pencil Student Information Form

Grade One      Mrs. Sherrow     Room 103

 boy girl pencil
 

Mrs. Sherrow                  Grade One                        Room 103


Please try to complete as accurately as possible.

Examples of important information are BLUE
* Optional field
First Name  
Last Name  
Nickname *  
Parent/Guardian  
Emergency Contact     Relationship        Phone #     
Birthday    (Ex. mm/dd/yyyy)
Address      Clifton,  New Jersey  
Email Address *   (Ex. johndoe@aol.com)
Phone   (Ex. 123-456-7890)
Did you attend Nursery School?   No
Yes                 
Did you attend kindergarten at School Nine?   No

Yes                 
Gender  Male        Female
What are some things you would like me to know about you? (For ex. allergies, medications)  
Favorite Subject
(Check one)		  Reading
Spelling
Math
Social Studies
Science
Are you involved in any after school activities? (Check all that apply) Boys & Girls Club
Cub Scouts
Brownies
Dancing		 Football
Baseball
Basketball
Cheerleading		 Other     
 
Site Designed and Maintained by G. Sherrow
Friday, December 22, 2006 06:39 AM