Aycock Student Update Form

1.	First Name*

2.	Last Name*

3.	Grade Level
	--None--54321KPreK

4.	Street Address

5.	City

6.	State

7.	Zip Code

8.	Home Phone Number

9.	Home Phone - Texting
	--None--Yes No

10.	Mobile Phone Number

11.	Mobile Phone - Texting
	--None--Yes No

12.	Work Phone Number

13.	Work Phone - Texting
	--None--Yes No

14.	Please enter your primary email address

15.	Please enter your secondary email address

16.	Emergency Contact First Name

17.	Emergency Contact Last Name

18.	Emergency Contact Relationship

19.	Emergency Contact Phone Number

20.	Does your child have any food allergies?

21.	Does your child have any required medicine we need to be aware of?

22.	Will remote learning take place somewhere other than your home?
	--None--Yes No

23.	Please provide a contact name for remote learning

24.	Please provide a contact telephone number for remote learning