Class Record Form

Pacific Baptist School

Class Records

Personal Information

Name: ___________________          Grade: ________        Age:     _________

Parent’s Name:                       _______________________________________

Favorite Hobbies:                    _______________________________________

Favorite Snack & Drink:          _______________________________________

Address:          ___________________________________

City:                 ________________    State:   ______                        Zip Code:         ________

Date of Birth:  ________________________

Contact Information

House Phone Number:            ________________________

Father’s Cell Number:             ________________________

Mother’s Cell Number:           ________________________

Parent’s Email Address:          ________________________

Emergency Contact Person:   ________________________

Emergency Contact #:               ________________________

Physical Examination Form

Here is the Physical Examination Form for you to print out.