JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Information 2017-2018
Please complete the following information for your student. Once complete, please hit the "submit" button at the bottom of the page. Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Select your child's teacher
*
Choose
Langham
Stroh
Hampf
Robinson
Dyer
Manning
Lanford
Michaud
Campos
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Nickname
*
Your answer
Date of Birth
*
Your answer
Primary Parent Contact
*
Please list who you would like to be the PRIMARY parent contact
Your answer
Primary Contant Phone #
*
Please list a working phone number for the PRIMARY parent contact
Your answer
Primary Contact Email
*
This will be the only one contacted unless a secondary email is specified.
Your answer
Secondary Contact
ONLY list a secondary email if you would like them to be contacted for classroom news, parties, etc.
Your answer
Secondary Contact Phone #
Your answer
Secondary Contact Email
Your answer
Emergency Contact
*
Please list someone other than the parents/guardian
Your answer
Transportation GOING HOME FROM SCHOOL on the FIRST DAY
*
Please list only how your student will go home from school on the first day
Choose
School Bus
Car Rider (Parent will pick up from the car rider line)
Walker (Parent will pick up and walk home with student)
YMCA (on campus)
Daycare/After school care (Off Campus)
Bus Number
Your answer
Transportation AFTER school for the REMAINDER of the year
*
Choose
School bus
Car Rider (picked up through the car rider line)
Walker (walking home with parent)
YMCA (on campus)
Daycare/ After school care (off campus)
Please list bus number or daycare center used for the REMAINDER of the year
Please only list information for after school transportation
Your answer
Siblings at Patsy Sommer
*
Your answer
Allergies
*
Please list ALL allergies your child has.
Your answer
I grant permission for my child's teacher to share PRIMARY contact information with the homeroom parent
*
This person will inform you about classroom events: field trips, parties, volunteer opportunities
Yes
No
Other:
I grant permission for my child's teacher to take and publish pictures and video of my child for classroom use only.
*
Pictures/videos are shared via email and/or classroom web page only
Yes
No
Other:
I grant permission for my child's teacher to share PRIMARY contact info with other parents for any outside events (i.e. birthday parties, play dates, etc.).
*
Primary email ONLY will be shared unless otherwise stated to teacher
Yes
No
Other:
I would be interested in volunteering this year
*
This would include things like helping in the classroom, cutting things out at home, making copies, etc. Your teacher will contact you if you are interested.
Yes
No
Other:
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of RoundRock ISD.
Report Abuse
Forms
