Mr. Geller's Community 

Room 10

 
 

  Assignments  |  Projects  |  Announcements  |  Classrooms  |  Home page

 

Welcome to Mr. Geller's Section of the Paramount Academy Web Site!

Dear Parents,

Have another wonderful and safe week! Below is the Spelling List for the week of May 5th-9th.

Sincerely,

Shad W. Geller

Supplemental Spelling List 39

 

1.       launch

2.       shawl

3.       false

4.       author

5.       install

6.       loss

7.       broad

8.       audience

9.       drawing

10.         caution

11.         lawyer

12.         recall

13.         astronaut

14.         office

15.         scald

16.         automobile

17.         drawn

18.         broth

19.         awful

20.         flaw

 

Dear Parents,

Have a wonderful and safe week!

Sincerely,

Shad W. Geller

Spelling List 38

1.       humid

2.       remove

3.       prove

4.       costume

5.       rescue

6.       unit

7.       annual

8.       suit

9.       include

10.         continue

11.         future

12.         beauty

13.         olives

14.         value

15.         humor

16.         museum

17.         avenue

18.         produce

19.         amuse

20.         youth

 

Dear Parnents,

I hope that everyone is enjoying their springtime. I wanted everyone to know that progress reports went home on Friday, April 18th. Enjoy the weekend and the week.

Sincerely,

Shad W. Geller

Spelling List 37

1.      arrive

2.      slope

3.      growth

4.      locate

5.      design

6.      supply

7.      chosen

8.      type

9.      froze

10.         polite

11.         spoken

12.         tone

13.         describe

14.         silent

15.         thrown

16.         deny

17.         excite

18.         bowl

19.         style

20.         decide

Dear Parents,

Thank you for all of the support that has offered throughout the year and especially for all of those parents who have been helping out with fruit donations during our AIMS testing week. Have a wonderful week.

Sincerely,

Shad W. Geller

Spelling List 36

1.            eighty

2.     daily

3.     operate

4.     claim

5.     freight

6.     neighbor

7.     explain

8.     straight

9.     contain

10.       populate

11.       needle

12.       beneath

13.       foggy

14.       gasoline

15.       complete

16.       scary

17.       screen

18.       police

19.       feature

20.       memory

Dear Parents,

I hope that everyone is having a wonderful springtime. I wanted everyone to know that we have been working very hard on preparing for the AIMS tests. The students are ready and I am excited for them to have such an opportunity to show off all of their skills.

Sincerley,

Shad W. Geller

 

Dear Parents,

I hope that everyone had a great and restful spring break. We are going to be and have been spending a considerable amount of time working on our A.I.M.S. preparations. We have been using practice tests that have been approved and distributed by the state to better prepare us for the tests. After spending time practicing, the students have found that they are less anxious and actually feel more prepared for the A.I.M.S. Have a great week.

Sincerely,

Shad W. Geller

Spelling List 35: Spelling Words Ending With -ing

swimming, dancing, napping, exploring, going, snapping, building, biking, relaxing, flipping, climbing, riding, reading, jogging, skiing,

breathing, snorkeling, practicing, vacationing, exercising

 

Dear Parents,

I want to thank all of the parents for taking time out of their busy lives to come out and conference with me regarding your amazing children. This was a great success and it was wonderful getting to know you and learning more about your children's' goals. Thanks again for all of your support regarding this matter.

Sincerely,

Shad W. Geller

Spelling List for the week of March 17th-21st

Spelling List 34: Spelling Compound Words

anyone, everywhere, someplace, headlight, basketball, touchdown, grandstand, outline, footprint, yardstick, brainstorm,

sometimes, waterfall, firecracker, rattlesnake, background earthquake, salesperson, grapevine, headquarters

Dear Parents,

Parent Teacher Conferences will be held on March 11th-13th,Tuesday, Wednesday and Thursday this week. I am really excited and looking forward to meeting with all of you. Have a great weekend and week.

Sincerely,

Shad W. Geller

Spelling List for the Week of March10th-14th

List 33: Spelling Words With The Prefix ex-

excuse, extend, exclude, exact, exclaim, express, expand, examine, expert, extreme,

expensive, explore, explain, example, explode, exhaust, excellent, excavate, extinct, exhibit

Bonus Word: excruciating

 

Dear Parents,

I want to thank all of those dedicated souls who have helped us out with Field Day this year. We really could not do this event successfully without the help of the volunteers. Thanks for your support regarding this matter. Have a wonderful weekend and week.

Sincerely,

Shad W. Geller

Spelling List 32: Spelling Words With the -ful and -less Suffixes

joyful, thankful, careful, useless hopeful, homeless, harmful, helpless, fearful, painless,

painful, cloudless, playful, thankless, skillful, powerful, wonderful, breathless, respectful, thoughtful

Bonus Word: meaningless

 

Dear Parents,

I hope that everyone is having a great week. I just wanted to remind everyone that Field Day is on Friday, February 29th, Leap Year. Cool! One extra day to do with what we wish this year. Have a great week and enjoy the beautiful weather.

Sincerely,

Shad W. Geller

Spelling List 31 for the week of February 25th-29th

List 31

glare, daring, area, scare, despair, library, beware, swear, carry, compare,

therefore, repair, declare, narrate, dairy, prepare, comparison, clarify, bury, lariat

Bonus Word: unaware

 

Dear Parents,

I hope that everyone has had a great week and weekend. I want to remind everyone that field day will be on Friday, February 29th this year. Thanks for all of those who are volunteering. Also, if you are interested in purchasing Casino Night/Parents' Night Out Tix, please send the money with your child to me and I will give them the tix to give to you. Thanks for your support regarding this matter.

Sincerely,

Shad W. Geller

Spelling List 29 for the week of Feb. 18th-22nd

List 29

another, shoe, answer, sugar, young, sure, obey, cousin, ocean, often,

guess, front, wash, island, whose, heart, machine, against, beauty, height

Bonus Word: weird

 

Dear Parents,

Just a reminder that progress reports for the third quarter went home on Friday, February 8th. Have a wonderful weekend.

Sincerely,

Shad W. Geller

Spelling List 28: Spelling Number Words

eighteen, twenty, thirteen, ninety, nineteen, fifteen, million, hundred, sixteen, fifth,

seventeen, fifty, eighth, fourteen, forty, numeral, digit, arithmetic, decimal, trillion

Bonus Word: googolplex

 

Dear Parents,

We have finished off another great month at Paramount Academy. January came and went very fast as I am cautiously aware that the rest of the year will go. 3rd Quarter Progress Reports will go home on Friday, February 8th. Have a wonderful week.

Sincerely,

Shad W. Geller

Spelling List 27 for the week of February 4th-8th

Spelling List 27: Spelling Words Ending in -tion, -ture, and -ure

action, picture, nation, creature, motion, failure, mention, nature, caution, furniture,

location, feature, condition, posture, direction, attention, lecture, departure, creation, moisture

Bonus Word: imagination

Dear Parents,

I hope that everyone is having a great week. We have had another wonderful week of learning and are looking forward to another adventure in our learning. Our classroom has adopted a new "Character and Life Skills" program called "Character Counts". The program emphasizes six essential and important "pillars" of good character and they are: Trustworthiness, Respect , Responsibility, Fairness, Caring and Citizenship. We will be incorporating lessons derived from these "pillars" into our curriculum. Have a wonderful Day.

Sincerely,

Shad W. Geller

Spelling List 26: Spelling Words Ending in -ly

lively, steadily, lonely, speedily, finally, merrily, harshly, luckily, eagerly, happily,

suddenly, totally, angrily, willingly, sleepily, secretly, cowardly, personally, usually, readily

Bonus Word: respectfully

 

Dear Parents,

We are looking forward to another great week of learning and education. I hope that everyone is settling into the new year peacefully with resolve and clarity. This is going to be a great year and I am glad to be working in and among this community.

Sincerely,

Shad W. Geller

Spelling List 25: Spelling the "Schwa" Sound

woman, even, kitten, bottom, custom, open, person, reason, happen, lesson,

button, garden, cannon, problem, ribbon, horizon, crimson, watermelon, dragon, opinion

Bonus Word: maintenance

 

Dear Parents and Students,

We are now getting back into the groove of all of our school roles, expectations and procedures. I am really excited to be back and looking forward to a great new year. I hope everyone had a wonderful holiday season. Happy New Year!

Sincerely,

Shad W. Geller

Spelling List 23: For the week of January 14th-18th, 2008.

List 23: Spelling Homophones

forth, flour, their, foul, threw, miner, waste, fowl, there, minor

waist, through, they're, flower, fourth, pour, principal, pore, principle, poor

Bonus Word: reign

 

Dear Parents,

Happy New Year! I hope everyone has had a great holiday season. Below are the spelling words for the week of January 7th-11th. Welcome back and good luck in 2008!

Sincerely,

Shad W. Geller

List 22: Spelling Words with the Prefixes re- and un-

unfriendly, review, reappear, rewind, untie, remove, unhook, rename, unpaid, retake,

unfair, replace, uncover, rearrange, unbeaten, unplanned, refinish, unfinished, reverse, unequal

Bonus Word: replenish

 

Dear Parents,

Here are the spelling words for the week of December 17th-21st. Remember that the grading period ends on Thursday, December 20th, 2007. Have a wonderful holiday season!

Sincerely,

Shad W. Geller

Spelling List 21: Spelling Special Plurals

leaves, loaf, wolves, themselves, scarf, wives, shelves, thieves, wife, thief,

scarves, shelf, wolf, loaves, leaf, geese, sominoes, women, skis, oxen

Bonus Word: skiing

Dear Parents,

I wanted to thank all of the parents who came out to support the students and their winter performance. Great job 4th graders! You are all so AWESOME!! Have a great week.

Sincerely,

Shad W. Geller

Spelling List 20 for the week of December 10th-14th

Spelling List 20: Adding -er and -est to Adjectives

hungry, happy, heaviest, prettier, uglier, prettiest, hungriest, happier, heavier, pretty,

ugliest, ugly, heavy, happiest, hungrier, empty, gloomy, windy, healthy, chilly

Bonus Word: healthiest

 

Dear Parents,

We have had another great week of learning and are looking forward to another good week. Have a safe and happy weekend and week.

Sincerely,

Shad W. Geller

Spelling List 19: Spelling the /ur/ sound

term, heard, birth, word, burst, world, thirst, learn, serve, pearl,

worst, urge, worth, early, further, search, purpose, perfect, earnest, overheard

Bonus Word: bratwurst 

 

Dear Parents,

I hope everyone had a great Thanksgiving holiday. Below is the spelling list for the week of November 26th-30th.

Sincerely,

Shad W. Geller

Spelling List 17: Spelling Names of Helpers

performer, decorator, bricklayer, gardener, creator, builder, actor, plumber, doctor, roofer

swimmer, teacher, sailor, welder, manager, moderator, baby-sitter, author, conductor, governor

Bonus Word: anthropologist

 

Dear Parents,

Have a great week. Remember that Thursday and Friday are Thanksgiving Break. Have a great holiday.

Sincerely,

Shad W. Geller

This weeks Spelling words: List 16 Spelling the /s/ sound

chance, notice, sentence, recess, price, surface, prince, princess, twice, office

iceberg, spice, advice, faucet, spruce, device, science, crevice, instance, distance

Bonus Word: pricelessness

 

Dear Parents,

We had another great week of learning. We focused on our multiplication tables in math. In reading, we read some great stories about Benjamin Franklin and how he changed the world and a story about a camel and how he got the hump on his back. We started our potato experiment and quickly learned that only one of the five potatoes and starting grow. We are looking forward to another great week in our learning community.

Sincerely,

Shad W. Geller

This weeks spelling words: List 15 Spelling Plural Nouns

taxes, dollars, suitcases, monkeys, ashes, crutches, eagles, countries, bicycles, inches,

sandwiches, umbrellas, brushes, blueberries, radishes, relishes, galleries, smudges, dragonflies, marshes

Bonus Word: languages

 

Dear Parents,

I hope everyone is getting along well. This week will mark the beginning of our Arizona prehistory and history curriculum. Also, we have set Saxon Math aside for a few weeks while we work on mastering our multiplication tables. Have a great week.

Sincerely,

Shad W. Geller

List 14: Spelling the /j/ sound

bridge, damage, judge, manage, lodge, bandage, badge, garbage, cabbage, package,

wedge, cottage, ledge, luggage, edge, voyage, carriage, pledge, image, average

Bonus Word: wreckage

Dear Parents,

We had another great week last week. Thank you for all of those who were able to come out to Literature Day. We had a great time celebrating Lewis Carroll's Alice's Adventures in Wonderland. Have a great week.

Sincerely,

Shad W. Geller

This weeks Spelling List 13: the /ch/ sound

ranch, stretch, pinch, scratch, perch, sketch, torch, clutch, reach, hutch,

couch, patch, branch, watch, church, starch, cinch, patchwork, wrench, splotch

Bonus Word: sandwiches

 

Dear Parents,

Parent-teacher conferences went very well. It was really great to be able to talk to all of the parents and to be able to set goals together as a team for your children's success. We will be having our "Literature Day Celebration" on Friday, October 26th. Our community voted on several different themes including; pirates, Charlotte's Web, Narnia and Alice's Adventures in Wonderland. The theme that won the most votes and the theme that we have decided to celebrate is Alice's Adventures in Wonderland. Students are allowed to dress up in celebration of Lewis Carroll's masterpiece in honor of the characters in the story Alice's Adventures in Wonderland. I look forward to seeing you there on Friday. Announcements will be sent home with more details regarding this event. Thanks again for the support.

Sincerely,

Shad W. Geller

This week's spelling list is List 11: spelling abbreviations:

Dec., Sat., Nov., Mon., Jan., Wed., Apr., Sun., Feb., Thurs.,

Oct., Aug., Tues., Fri., Mar., St., Blvd., Sept., Ave., Rd.

Bonus Word: lbs.

 

Dear Parents,

This week we will be holding parent-teacher conferences. I sent home confirmation times to each student on Thursday, last week. I look forward to meeting with each of you. Also, Friday, October 19th, the fourth, fifth and sixth grades will be going on a field trip to the Arizona State Fair and Exposition. I will be asking for chaperones to assist on the trip. Please indicate wether you can or cannot chaperone, on the student's permission slip. Please remember that marking your availability does not guarantee that you will be asked to chaperone. I will contact chaperones via telephone or at the parent-teacher conferences. Thanks for your support regarding this matter.

Sincerely,

Shad W. Geller

This week's spelling list is list 10

List 10

ceiling, giraffe, citizen, gem, citrus, circle, cereal, genius, celery, certain,

gerbil, cement, center, general, cedar, century, cymbals, genuine, cinnamon, geography

 

Dear Parents,

Parent teacher conferences will be held on October 16th-18th. Please look for the sign up sheets that I have sent home and follow the instructions on the form so that we can get the conferences scheduled as soon as possible. Thanks for your support regarding this matter.

Sincerely,

Shad W. Geller

Spelling List 9: the /K/ sound

check, lucky, plastic, pocket, picnic, struck, bucket, hockey, attic, attack,

jacket, stocking, rocket, shriek, ticket, nickel, frantic, heroic, atomic, poetic

 

Dear Parents,

We have wrapped up another great week in our community. Have a safe and happy weekend.

Sincerely,

Shad W. Geller

Below is a list of our spelling words from Spelling List 8 for the week of October 1st - 5th.

plow, found, joint, destroy, allow, ground, moist, employ, tower, bounce

choice, about, oyster, poison, outside, account, appoint, enjoyment, rejoice, trousers

 

Dear Parents,

Progress reports go home on Friday, September 21st. I hope everyone has a great and safe weekend.

Sincerely,

Shad W. Geller

 

This week's Spelling Words: List 7: Spelling Vowel Sounds in Two-Syllable Words

tablet, credit, invent, contact, success, admit, dentist, insect, comment, solid

suggest, product, napkin, until, cactus, traffic, progress, punish, after, lettuce

 

Dear Parents,

Below you will find a copy of the spelling words for the week of September 17th - 21st. Please use them to refer to when your child is studying for the pre-test (Thur) and test (Fri). I want to remind all parents that Friday, September 14th marks the end of the grading perior for the progress report for the first quarter. Thank you to all of the parents who helped to support the community by holding the students accountable to turning in their assignments. Progress reports for the first quarter will be sent home on Friday, September 21st. Thanks for your continued support.

Sincerely,

Shad W. Geller

 

Spelling List 5 for the week of September 17th-21st

rescue, few, view, move, due, drew, proof, suit, true, fruit,

crew, troop, juice, stoop, bruise, group, smooth, value, issue, screwdriver

Have a safe and happy weekend!

 

Dear parents,

We had another great week. Here is the spelling words for the week of September 10th - 14th.

List 4: Spelling the Long I Sound

mild, pipeline, find, flight, type, blind, mile, midnight, idle, style,

pilot, mighty, supply, pirate, lighthouse, hydrant, tighten, icicle, rhyme, dynamite

 

I hope everyone has a safe and happy "Labor Day" weekend. Please remember that there is no school on Monday, Sept. 3rd. Also, We are trying to keep the wesbsite current. Please continue to check students' agenda books and sign your initials at the bottom of each day, after you have gone over the academic day with your child. Thanks so much for your continued support. Remember in addition to the agenda books, I will be posting assignments on this web page under the category "Assignments" listed above. Just click on "Assignments" and check to see if that week's assignments have posted. Please note that these assignments are not "written in stone" and the agenda book is still your best guide to what we did in class, day to day. Enjoy the weekend and I look forward to seeing everyone back on Tuesday.

Here is Spelling List List 3 for the week of Sept. 3rd-7th: Spelling the Long O Sound.

List 3:

flow, grove, throw, over, shown, groan, grown, stolen, hollow, coast

narrow, coach, window, bowl, shadow, bulldozer, elbow, overflow, though, cocoa

Sincerely,

Mr. Geller, Room 10

 

I am looking forward to another great week.

Here is the Spelling List 2 for the week of August 27th-31st.

Spelling List 2:

east, bleed, field, donkey, sneak, jockey, grease, yield, least, scream,

shield, wheat, seaweed, beach, beetle, screech, female, wreath, niece measles

 

Dear parents,

We have just completed the second week of school. We are off to a great start. This week, we focussed on our curriculum and started getting into the groove of things. We had an excellent week and are looking forward to another one next week. Please remember to continue checking your child's agenda books and signing them at the bottom. We want to make sure that all of the students are clear that both teachers and parents are holding the students accountable on their agenda books and assignments. Have a safe and happy weekend.

Sincerely,

Mr. Geller

 

Don't Forget that Wednesday, August 22, 2007 is an early release day.

Hello everyone! We have had an excellent first week back to school. We have finished our Spectrum Testing in Math, Language and Reading. I am looking forward to another great week, next week. We will be starting into our regular curriculum next week. Have a safe and happy weekend. Below is an interesting link to an interesting game. This might be fun to play with your children and to play yourself. I am warning you though, it is highly addictive. Have a great weekend!

Sincerely,

Mr. Geller

 

P.S. If the link below does not send you directly to the website, copy and paste the link into your browser and it should get you there.

 

 http://members.iinet.net.au/~pontipak/redsquare.html

 

 

 

 

From the Desk of Mr. Shad W. Geller

4th Grade Teacher, Paramount Academy

August 13, 2007

Dear Parents,

I am excited to have your child in my 4th grade class. This year will be filled with many challenges, learning opportunities, and hopefully some fun along the way. I cannot wait to meet you and your child. As most of you know, this will be my fifth year of teaching at Paramount Academy and my seventh year as an elementary school teacher. I feel very honored to be working at such a great facility and amongst such a great community. I believe that your child’s success can be achieved through the cooperation of teachers, positively disciplined students, and supportive parents. With that said, I am looking forward to getting this year started.

Here are some points to consider about the way I operate my classroom and my teaching philosophy. I believe that student success relies greatly on a firm foundation of structure, discipline, effort, and preparation. In order to facilitate the previously mentioned criterion, I have designed a set of community expectations and a list of rules and consequences that should help aid in the overall success of each student in my classroom. Please read the attached forms carefully. Sign, date, and fill out all of the attached forms and return them, with your child, to me as soon as possible.  My philosophy is founded on the basis of, respecting yourself, others and things in order to promote a positive and pro-social learning environment. My goal is academic success for your child. During the first few weeks of school, I will spend a considerable amount of time reviewing my expectations and rules and consequences with the class so that every student is clear on what is expected of them. Assignments that are not finished in class will be considered homework. Generally, assignments are due the next time class meets after the assignment is given. If you need to talk with me, please call and set up an appointment and I will be glad to discuss matters with you. Remember that anytime you enter the campus, you need to sign in through the office and obtain a visitor’s pass. This is to help ensure the safety of all of us on the campus. Thank you for your time and support regarding these matters.

In closing, I am excited and looking forward to a wonderful year at Paramount Academy . Please remember to fill out, sign, and date the attached forms, as I need them for my records as soon as possible. Thank you.

Sincerely,

Mr. Shad W. Geller

Mr. Geller’s 4th Grade Community Expectations

1. Respect Yourself.

2. Respect Others.

3. Respect Things.

By respecting yourself, others, and things, you are promoting a positive and pro-social learning environment.

Parent’s Signature_________________________ Date__________

Student’s Signature________________________ Date__________

Teacher’s Signature________________________ Date_________

Mr. Geller’s 4th Grade Classroom Rules

1. RESPECT YOURSELF, OTHERS AND THINGS.

2. RESPECT AND OBEY ALL TEACHERS AND ADMINISTRATORS.

3. RESPECT AND OBEY ALL DRESS CODE GUIDELINES.

4. BE PREPARED FOR ASSIGNMENTS AND LEARNING ACTIVITIES.

5. FOLLOW INSTRUCTIONS.

6. BE PRODUCTIVE AND CONSTRUCTIVE.

7. STAY “ON TASK” AND COMPLETE WORK “ON TIME”.

8. BE “ON TIME” TO CLASS.

9. DO NOT LEAVE THE CLASSROOM WITHOUT PERMISSION, SIGNING OUT, AND A PASS.

10. RAISE YOUR HAND AND WAIT TO BE CALLED ON BY THE TEACHER TO SPEAK.

11. USE “INSIDE VOICES” TO KEEP NOISE LEVELS LOW.

12. STAY IN YOUR ASSIGNED SEAT UNLESS OTHERWISE DIRECTED BY THE TEACHER.

13. KEEP YOUR HANDS, FEET, AND ALL OTHER BODY PARTS TO YOURSELF.

14. NO RUNNING IN THE CLASSROOM.

15. NO INAPPROPRIATE LANGUAGE.

16. DO NOT GO THROUGH OTHER PEOPLE’S DESKS, PROPERTY, OR PERSONAL BELONGINGS.

17. DO NOT SPEAK NEGATIVELY ABOUT OTHERS.

18. NO “TATTLE TELLING”.

19. NO CHEWING GUM.

20. EAT AND DRINK FOOD AND BEVERAGES AT APPROPRIATE PLACES AND APPROPRIATE TIMES.

21. NO MAGAZINES, COMIC BOOKS, RADIOS, ELECTRONIC GAME SYSTEMS, TRADING CARDS, TOYS, OR ANY OTHER ITEM THAT CAUSES DISRUPTIONS TO YOURSELF, OTHERS, AND TEACHERS.

Parent’s Signature___________________________________ Date_________________

Student’s Signature__________________________________ Date_________________

Teacher’s Signature__________________________________ Date_________________

 

 

CONSEQUENCS FOR BREAKING MR. GELLER’S CLASSROOM RULES

FIRST OFFENSE = NAME ON BOARD = WARNING

SECOND OFFENSE = NAME ON BOARD AND ONE CHECK MARK = LOSS OF FIRST RECESS

THIRD OFFENSE = NAME ON BOARD AND TWO CHECK MARKS = LOSS OF LUNCH RECESS

FOURTH OFFENSE = STUDENT WILL BE SENT TO THE PRINCIPAL’S OFFICE

IN ADDITION TO THE ABOVE CONSEQUENCES, THE TEACHER MAY SEND A STUDENT TO THE DESIGNATED “TIME OUT” AREA WHEN NEEDED.

ANY OFFENSE THAT INCLUDES ANY FORM OF VIOLENCE OR SEVERELY DISRUPTIVE BEHAVIOR WILL RESULT IN AN AUTOMATIC REFERRAL TO THE PRINCIPAL’S OFFICE AND A CALL HOME WILL BE MADE.

IF ANY OTHER TEACHER REPORTS INAPPROPRIATE BEHAVIORS OUTSIDE OF MY CLASSROOM, THE STUDENTS WILL ALSO BE HELD ACCOUNTABLE IN MY CLASSROOM.

Parent’s Signature___________________________________ Date_________________

Student’s Signature__________________________________ Date_________________

Teacher’s Signature__________________________________ Date_________________

 

 

 

 

            Paramount Academy Student Information Form

Please print the following information and return this form to Mr. Geller A.S.A.P.

Student’s Name: __________________________________________________________

Parent’s Names: __________________________________________________________

Address: ________________________________________________________________

Home Phone Number: _____________________________________________________

Cell Phone Number (optional): ______________________________________________

Work Number (optional): __________________________________________________

Emergency Contact names and Phone Numbers: ________________________________

______________________________________________________________________

Student’s Birthday: ______________________________________________________

Any seating placement concerns regarding vision and hearing (Do you want your child near the front of the room or the back of the room?). ___________________________

_____________________________________________________________________

Are there any allergies that we should be aware of? ___________________________

_____________________________________________________________________

What are your child’s hobbies and special interests? ___________________________

_____________________________________________________________________

List any other necessary information or concerns: _____________________________

_____________________________________________________________________