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Student Information Form Template

This document collects basic contact and identifying information for a student, including their name, birthdate, allergies, home address, phone numbers for parents and guardians, preferred email, emergency contacts, and transportation arrangements to and from school.

Uploaded by

Olivia Spence

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

100% found this document useful (1 vote)

3K views1 page

Student Information Form Template

Uploaded by

Olivia Spence

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

_________________________ _

First Name

Last Name

Nickname

__________________ ____________________________________
Birthdate

Any Allergies?

________________________________________ ______________
Home Address

City

State

Zip Code

Home Phone #

___________ _ _________

Mothers Name

Mothers Cell #

Mothers Work #

___________ _ _________

Fathers Name

Fathers Cell #

Fathers Work #

Preferred Email Address __________________________________________

(required for weekly newsletter & daily communication)

Student lives with:

Mother

In Case of an Emergency, call:

Father

Both Parents

Guardian:_______________

________ at: _

(other than parent)

Relationship to student:

___________________________________________
Transportation from school
first

KidsNet
walk with:

parent pick up

__________
Reamainder

KidsNet
walk with:

parent pick up

__________

day:

Bus: __________
daycare van:

__________

of the year:

Bus:

__________

daycare van:

__________

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Student Information Form Template

Uploaded by

Student Information Form Template

Uploaded by

_______________________________________ _______________

___________________ _________________ _________________

___________________ _________________ _________________

Preferred Email Address __________________________________________

Student lives with:

In Case of an Emergency, call:

______________________ at: _______________

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_________________________ _

___________ _ _________

___________ _ _________

________ at: _