SAMPLE
XYZ Charter
719
555/555-1234
Contact Sheet
Student _________________________________ Birth Date __________________________
Mailing address______________________________________________________________
Parents/guardians ____________________________________________________________
Best times to call _____________________________________________________________ Home phone _____________________________ Work phone ________________________
Emergency contact _______________________ Phone ______________________________
Special information ___________________________________________________________
Date _______________Whom contacted __________________________________________
How: Phone Note with child Mail In person
Summary
___________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Date _____________ Whom contacted ___________________________________________
How: Phone Note with child Mail In person
Summary
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Date ______________________ Whom contacted __________________________________
How: Phone Note with child Mail In person
Summary
___________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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