Back to School

 
                    Fourth Grade Information Sheet

Dear Families,

I would appreciate it if you would take the time to complete this 
information sheet to assist me in getting to know your child better.  The 
information you provide will remain a confidential part of my classroom 
files.  Please send this sheet back to school with your child on the first 
day.  Thank you for your cooperation.


Child's Name:____________________________________________________________

Birth Date:_______________________________________________________________

Health concerns/ Allergies:_________________________________________________

________________________________________________________________________

Parent(s)/Guardian(s):_____________________________________________________

Family members at home:__________________________________________________

Siblings attending Winthrop:________________________________________________

Parent(s)/Guardian(s) E-mail:________________________________________________

Home Phone Number:_________________Cell/ Work Number:____________________

Special interests of my 
child:___________________________________________________________________

_________________________________________________________________________

My child's strengths (academic/ social-emotional): _________________________

____________________________________________________________________________

____________________________________________________________________________

Areas for continued development:____________________________________________

____________________________________________________________________________

Expectations of my child this year include: ________________________________

____________________________________________________________________________

____________________________________________________________________________

Expectations of Ms. O'Brien include:_________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Additional information you would like to share: ____________________________ 

____________________________________________________________________________

____________________________________________________________________________


Thank you!
Ms. O'Brien