FAMILY INFORMATON

Home Address: _____________________________________________________________________________________ _________________________________________________________________________________________________ Home Phone Number:__________________________ If unlisted, may we publish it in the school directory? Y N Home Email Address: ________________________________________________________________________________ Would you like to receive school notices via email? Y N Father/Legal Guardian’s First Name: ____________________________________________________________________ Employer:________________________________________ Occupation: ______________________________________ Business Phone Number:______________________________ Cell Phone Number: _____________________________ Email Address: _____________________________________________________________________________________ Mother/Legal Guardian’s First Name: ____________________________________________________________________ Employer:________________________________________ Occupation: ______________________________________ Business Phone Number:______________________________ Cell Phone Number: _____________________________ Email Address: _____________________________________________________________________________________ Marital Status: Single Married Separated Divorced Remarried Widowed Student Lives With: Both Parents Father Mother Legal Guardian Emergency Contact Name: ____________________________________________________________________________ Relationship to Child:________________________________________ Telephone Number: _______________________