Meet the Teacher Form, 2018-2019

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What is your child's last name? *

Which name will your child be using in class at school? (Ex: Type "Jake" if Jacob goes by Jake.) *

Who are the child's primary caregiver(s)? Please list name(s). *

Mother's Phone Number

Father's Phone Number

Mother's E-mail Address

Father's E-mail Address

Does your child have any allergies/medical conditions? (asthma, etc.) *

Yes

If you answered yes, then please list specific allergies and note if medication is required. If your child has a medical condition, please list.

How will your child go home from school? *

Car

Back path walker

Front path walker

Bus

Daycare van

After school program at Buena Vista

Other or not sure (Please talk to the teacher before leaving if you choose this answer.)

If your child is going home a DIFFERENT way on the FIRST day, please indicate how your child be going home.

Would you like to join the class Remind text-messaging group to receive class information and reminders? Please be aware that texting and data rates apply. By checking yes, you agree to receive text messages through the Remind system. *

Yes

If you answered yes and would like to join the Remind group, please list the full name of the parent you would like to receive these texts. (You will have the option to select a second parent later in this survey.)

What is this person's phone number? (This will be the number that receives Remind text messages.)

If you would like a second parent to receive Remind text messages, please list the full name of that parent.

What is this person's phone number? (This will be the number the receives Remind text messages.)

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