Student Name

First Name

Last Name

Grade Number

Teacher

Parent or Guardian #1 Name

First Name

Last Name

Parent or Guardian #1 Phone Number

(###)

###

####

Parent or Guardian #1 Email

Parent or Guardian #2 Name

First Name

Last Name

Parent or Guardian #2 Phone Number

(###)

###

####

Parent or Guardian #2 Email

What are your kid's favorite movies?

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