The Bay School PS/MS 105 Emergency Contact Form 2020-2021
As we prepare for the Fall school year, we are asking parents and guardians to provide an updated contact information. As remote learning will be a part of all learning models for the fall school year, the school would like all parents and guardians to fill this out so we can keep you updated with your student's academics, and how we will proceed throughout the year with our learning strategy. Your information will remain safe and you will only receive periodic communication from the school.

PLEASE NOTE: If you need to update this form at any time throughout the year, you can just fill this out again.


Also, you will be asked once more on the following form to submit your email address, please do so.
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Email *
Student FIRST Name *
Student LAST Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Student Sex *
STUDENT ID #  (If unknown, skip this question)
Parent/Guardian First & Last Name *
Home Address *
Phone Number 1 *
Phone Number 2
Parent/Guardian Email Address *
Other Parent/Guardian First & Last Name
Home Address
Phone Number 1
Phone Number 2
Other Parent/Guardian Email Address
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