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STUDENT PROFILE SHEET
The information listed below is to be used as a guide and reference for our
teachers. Returning this form is optional.
Child’s Name: __________________________________________________
Nickname to be Used in School: _____________________________________
Birthday: _______________ Age: _________ Class: _________________
Parents’ Marital Status:
(please circle)
Married Divorced Separated Single Widowed Other ______________
Child’s Siblings:
Name: Age as of 9/1
________________________________ ___________
________________________________ ___________
________________________________ ___________
________________________________ ___________
Child’s Religion (This Information is Helpful During Holidays): ___________
Child’s Pets: _______________________________________________
Child’s Allergies: ____________________________________________
Child’s Fears: ______________________________________________
Interests: ________________________________________________
Additional Information: ________________________________________
_____________________________________________________