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Contact Information – Grymonpre/Harrigan Team
Student’s full name: _____________________________________________________
Student’s e-mail:
Please list all individuals who live with the child: (If your child spends time in multiple homes, please list members of each home.) Name Relationship to student _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
Primary contact (e.g., mother) name: ________________________________________ Relationship to the student: _______________________________________________ Address: ______________________________________________________________ ______________________________________________________________ Home phone: (_____) ____________ Cell phone: (_____) ____________ Work phone: (_____) ____________ E-mail: __________________________ Place of work: __________________________________________________________ How do you prefer to be contacted (e-mail, mail, or phone)? ______________________
Secondary contact name: _________________________________________________ Relationship to the student: _______________________________________________ Address: ______________________________________________________________ ______________________________________________________________ Home phone: (_____) ____________ Cell phone: (_____) ____________ Work phone: (_____) ____________ E-mail: __________________________ Place of work: __________________________________________________________ How do you prefer to be contacted (e-mail, mail, or phone)? _____________________ Please return this form at Meet the Teachers’ Night or return to: Kris Grymonpré McAuliffe Regional 25 Clinton St. Framingham, MA 01702
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