Getting to Know You

Name

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First name form you like to be addressed by: (NOT nickname - for example: Mari for Maricella)

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I live with my (check all that apply)

• mother
• father
• step-mom
• step-dad
• Grandparents

What is your parent or guardian's name?

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What is your parent or guardian's email address?

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What is your parent or guardian's phone number?

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Any heath issues that you would like me to know about?

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When is your birthday?

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What is your favorite hobby, intrest, or activity?

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What is your favorite subject in school?

• Math
• Social Studies
• PE
• Technology/Computer Science
• English