A kindergarten through 5th grade school

Parent Information


Dear Parents/Guardians,


I would like you to provide me with current contact information so that I may contact you if necessary during the school year. All information is kept confidential. Please print legibly.


Student’s Name: ____________________________________________


Parent’s Name/s: ____________________________________________


Home Phone: (        ) _________________________________________


Cell Phone:     (       ) _________________________________________


E-mail: ____________________________________________________

          Please print legibly


Thank you for your cooperation,