Student Profile

Name*
First Last
Date of birth*
DD slash MM slash YYYY
Primary language(s)*
Place in family*
Example: 1st of 2 children, 4th of 5 children, etc.
Allergies*
- Yes
- No
Please explain*
Extended care*
- Yes
- No
Drop-off / Pick-up Info
Persons allowed to drop off or pick up my child.
Person #1: Name
First Last
Person #1: Phone
Person #1: Relationship to family
Person #2: Name
First Last
Person #2: Phone
Person #2: Relationship to family
Person #3: Name
First Last
Person #3: Phone
Person #3: Relationship to family
Breakfast at school*
- Yes
- No
Nap at school*
- Yes
- No