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  • Student File Update 09-10

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    jfkelley
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    ____________Miles does your child have any physical and / or medical problems or allergic to anything that we need to be aware of?

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    4. Student File Update 09-10

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    ____________Miles does your child have any physical and / or medical problems or allergic to anything that we need to be aware of?

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Student File Update 09-10

    Uploaded by

    jfkelley
    ____________Miles does your child have any physical and / or medical problems or allergic to anything that we need to be aware of?

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Smith County Middle School

    134 SCMS Lane


    Carthage, TN 37030

    Homeroom Teacher: ______________________Grade:_______

    Student Name__________________________________________

    Address_______________________________________________

    City, State Zip _________________________________________

    Parents Name__________________________________________

    Home and Cell Number__________________________________

    Emergency Contact Name/ Phone __________________________

    Doctor Name/ Phone ____________________________________

    Bus # (even if your child rides only once a year)_______________

    Approximately how many miles does your child ride the bus to
    school? ____________Miles

    Does your child have any physical and/or medical problems or


    allergic to anything that we need to be aware?

    Yes ______________ No ____________ (If yes, describe on back)

    Does he/she use an inhaler? ____If so, do they carry it? _________

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