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Student/Parent Information
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Student Name *
First and Last
Student Homeroom *
Student Home Address / Addresses *
Parent/Guardian Name(s) & Relation to Student *
Parent/Guardian Cell and Home Phone #(s) *
Parent/Guardian Occupation(s)   *
  Please provide workplace phone #(s) if you are available to take calls.
Parent/Guardian Email(s)
Student Allergies/Health Concerns
How will your student normally travel to school this year? *
How will your student normally travel home this year? *
Bus Number (if known)
Does your student have internet access at home? *
Does your student have a cell phone at school? *
I give my permission for my child to be photographed and for my child's image to be used for classroom/school purposes.  I agree that this permission will remain in effect during the 2017-2018 school year. *
**Student images will only be used within Colleton County Middle School.  For example: CCMS News Show, Classroom Bulletin Board, Student-of-the-Week Display, etc.  Please understand that it is the parent/guardian's responsibility to notify the teacher in the event that you no longer wish to authorize photography and/or use of student image.  
Please use this space to tell me anything else you think I should know about your student.
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