2018 Student Information Form

* Indicates required field

Student Name *

First

Last

Nickname *

Birthday *

Does your child have any allergies? *

Yes No

If yes, please explain. *

Does your child take any medications? *

Yes No

If yes, please explain. (If it is a medication that needs to be taken at school, it must be stored in the office with a parent consent form.) *

May I use your child's photo on our class website? *

Yes No

Dismissal Plans!

Please let me know where your child be picked up on the first two days of school!
Options Include:
- Tables (if you would like to park and walk to meet your child at the front gate)
- BTCCC (after school care at the Belvedere-Tiburon Child Care Center on campus
- Carline
- Bus
*Starting next week students may also be picked up by their teachers from Dairy Knoll/The Ranch

Thursday *

Friday *

Please list below your child's typical weekly dismissal plans for the fall (e.g., Monday - bus, Tuesday - carline, etc.) *

Is there anything else you would like me to know about your child? *

Please provide email addresses where you would like to receive classroom emails and information.

Primary Contact *

First

Last

Email *

Secondary Contact *

First

Last

Email *

Submit

Reed Kindergarten - Room 4

2018 Student Information Form

Dismissal Plans!