Washington D.C. 2006

                                    Parent/Student Information Card

                                                  (Please Print)

 

 

Student Name __________________________________

Parent (Guardian) Name __________________________________

Home Phone Number ____________________   Cell Phone Number ____________________

Email Address              __________________________________

Mailing Address           __________________________________

                                    __________________________________

                                    __________________________________

Additional comments or concerns I need to know about your child

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________