Student
Information
Sheet
Please
take
a
few
minutes
to
answer
these
important
questions.
Return
the
questionnaire
as
soon
as
possible.
This
will
help
me
get
to
know
your
child.
You
can
drop
it
off
or
mail
it
to
the
school
(Attn:
Ronee
Treadwell
1500
Second
Ave.
Gold
Hill,
OR
97502),
turn
it
in
when
you
visit
our
class
at
open
house,
or
send
it
with
your
child
on
the
first
day
of
school.
I
am
the
proud
parent
of:
Preferred
name
for
school:
Birth
Date:
Siblings
and
Ages:
yes
no
yes
no
Does
your
child
have
access
to
a
computer
at
home?
(Circle
one)
Does
your
child
where
glasses?
(Circle
one)
Does
your
child
have
any
allergies
or
physical/health/emotional
factors
we
should
know
about?
My
child
is
good
at
(do
not
limit
to
academic
ability,
please
include
physical
and
social
strengths
too.):
Describe
the
accomplishment
or
trait
of
your
child
that
you
are
most
proud
of:
What
do
you
consider
to
be
your
child's
weaknesses?
Goal(s)
you
have
for
your
child
this
year:
Describe
any
concerns
you
would
like
addressed
this
school
year?
How
would
you
describe
your
childs
attitude
toward
school?
Please
use
the
following
lines
and
additional
paper
to
tell
me
anything
that
would
help
your
child
to
be
successful
or
anything
else
you
would
like
me
to
know
about
your
child
such
as:
personal
history
likes
and
dislikes
dreams
friends
favorite
meals
habits
career
highlights
favorite
TV
shows
or
movies
vacations
fun
things
you
do
together
learning
styles
Relationship:
Thank
you
for
your
participation
in
your
childs
education.
Student
Name:
Parent/Guardian
Contact
Sheet
Guardian(s)
names
and
contact
information:
Name:
Work:
Home/Cell:
E-mail:
Best
way
to
contact
you
(circle
one):
Phone
E-mail
Note
Home
Name:
Relationship:
Work:
Home/Cell:
E-mail:
Best
way
to
contact
you
(circle
one):
Phone
E-mail
Note
Home
Permission to Publish Student Work Online
Throughout
the
year
your
student
will
have
the
opportunity
to
publish
and
share
his
or
her
work
on
the
Internet,
using
various
Internet
resources.
This
allows
students
to
develop
critical
technological
skills
for
todays
technological
world
and
for
parents
and
family
to
see
student
work.
Students
will
learn
to
use
programs
like
PowerPoint,
the
class
blog,
slideshow
builders,
etc.
I
take
seriously
my
legal
and
moral
obligation
to
protect
the
privacy
of
my
students
and
their
parents
in
online
and
print
publications.
Student
safety
and
privacy
are
of
the
utmost
importance.
Students
will
not
be
named
in
any
photograph
published.
Students
identified
in
print
(including
student
work)
will
be
listed
by
first
name
only.
A
signed
Permission
to
Publish
Student
Work
and
Likeness
form
must
be
on
file
in
the
before
photos
or
work
of
any
kind
can
be
posted
by
The
Northwest
School.
I
hereby
authorize
and
give
full
consent
to
take
pictures,
or
permit
a
third
party
to
take
pictures,
of
my
child
and/or
their
works,
and
to
publish
and
copyright
all
photographs
in
which
my
child
appears
while
enrolled
as
a
student
in
any
and
all
programs
of
Patrick
Elementary.
I
further
agree
that
Patrick
Elementary
may
transfer,
use,
or
cause
to
be
used
these
photographs
in
school
brochures,
newsletters,
advertising,
posters,
displays,
slide
shows,
videotapes,
catalogs,
electronic
images,
the
schools
website,
and
like
publications
or
literature
without
limitations
or
reservations.
I
also
agree
that
Patrick
Elementary
may
publish
comments
or
quotes
by
my
child
in
any
of
the
above
named
instances
and/or
venues.
It
is
the
responsibility
of
the
person
publishing
the
photo
or
work
to
determine
if
this
permission
has
been
obtained.
It
is
also
the
responsibility
of
the
person
publishing
student
work
to
remove
all
information
that
might
identify
a
student,
i.e.,
names
or
personal
information.
I
hereby
approve
the
foregoing
and
consent
to
the
use
of
my
childs
photographs,
images,
and
quotations,
subject
to
the
terms
mentioned
above.
I
affirm
that
I
have
the
legal
authority
to
grant
such
consent.
I
hereby
approve
the
foregoing
and
consent
to
the
use
of
my
childs
photographs,
images,
and
quotations,
for
use
ONLY
on
the
Patrick
Elementary
or
classroom
website.
I
do
not
approve
the
foregoing
and
do
not
consent
to
the
use
of
my
childs
photographs,
images,
and
quotations,
subject
to
the
terms
mentioned
above.
Student
Name
Parent
Signature
Date