Student Information

Student Name * Required

Student's Preferred Name

Student's Pronouns

Grade Level * Required

Birthday * Required

Gender * Required

Student Address * Required

Who does this student live with? Is there a custody arrangement? * Required

Was the student born in Oregon? * Required

Yes

No (If the student was not born in Oregon, please email a copy of the immunization records to admin@portandforestschool.org.)

Parent Name * Required

Please list the parent that should be our first point of contact here!

Email * Required

Mobile Phone * Required

Additional Parent Name

Additional Parent Email

Additional Parent Mobile Phone

Emergency Contact Name * Required

Emergency Contact Phone * Required

Additional Emergency Contact Name * Required

Additional Emergency Contact Phone * Required

Can we include you in our family directory? * Required

Yes, please include my name.

Yes, please include my phone number.

Yes, please include my email.

Yes, please include my address.

No, please do not include my information.

Additional contacts

Use this space for other important adults. Please include the name, relationship to student, phone number, email address and if they are an authorized pickup person. If you have additional contacts beyond what can be entered here please email admin@portlandforestschool.org

Additional Contact 1

Additional Contact 2

Additional Contact 3

Additional Contact 4

Student Medical Information

Does the student have any health history that we should be aware of? * Required

Yes (if yes, you must answer the following question.)

No

If yes, describe in detail.

Does the student have any allergies? * Required

Yes (if yes, you must answer the following question.)

No

If yes, describe. Include symptoms the student will experience and what should actions the school should take.

Will your student be taking any medications during school hours? If yes, please list below AND communicate directly with your child's teacher

Yes (if yes, you must answer the following question.)

No

If yes, please list medication, dosage and times below AND communicate directly with your child's teacher.

Photo Release

We share photos with our internal school community in our weekly newsletters.

Note: We follow best practices and will never share identifying information about a student or our location on Social Medical or our Website.

You can chose to opt out of the following photo uses.

Marketing Materials

Full Permission

Do Not Release

Social Media

Full Permission

Do Not Release

School Website

Full Permission

Do Not Release