Blue Card 2023-24

Welcome to the 2023-2024 school year at 75 Morton!

Please fill out all of the required fields (with an *) and those that may also apply specifically to your child.

If you have more than 1 child at the school, please complete the form for each child.
Email *
Student LEGAL First Name *
Student LEGAL Last Name *
Student Date of Birth *
Student Gender
Student Grade *
Does student have an IEP (Individual Education Plan)
Does student have a 504?
Does student have any allergies? 
Clear selection
If student has allergies, please list them.
Does student have any health conditions that limit participation in physical activities (i.e. running, climbing, etc)?
Clear selection
If student has limitations, please list them.
Parent/Guardian #1 First Name *
Parent/Guardian #1 Last Name *
Relationship to Student
Parent/Guardian Email Address
Address including zip code and apartment (where student resides) *
Cell/Primary Phone Number *
Alternate Phone Number
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Relationship to Student
Parent/Guardian #2 Email
Parent/Guardian #2 Cell Phone Number
Address including zip code and apartment number (if different from Parent/Guardian #1 address)
Emergency Contact #1 Full Name
Relationship to Student
Phone Number
Emergency Contact #2 Full Name
Relationship to Student
Phone Number
Emergency Contact #3 Full Name
Relationship to Student
Phone Number
Emergency Contact #4 Full Name
Relationship to Student
Phone Number
Emergency Contact #5 Full Name
Relationship to Student
Phone Number
If we are unable to reach you or your emergency contacts, what would you like the school to do if your child is sick or injured? It is understood that in the event of an emergency, the judgement of school authorities will prevail and the recommendation of the family as indicated will be respected as far as possible.
Name of Student's Physician
Number for Physician/Clinic
Type of Health Insurance for Student
Clear selection
If there is someone who should NOT have access to your child, please write their full legal name.
Is there a current Order of Protection for this person?
Clear selection
Sibling #1 & their current school (only K-12)
Sibling #2 & their current school (only K-12)
Sibling #3 & their current school (only K-12)
I hereby consent for my child to participate in walking field trips during the 2023-2024 school year that do not require the use of mass transportation (subways, buses, etc.).
*
I hereby consent to the taking of photographs, movies, video of the student named on this form, for non-commercial purposes including use in print, the internet and all other forms of media.
*
I hereby consent for my child participate in classroom presentations with the school comfort dogs, and/or to interact directly with the school comfort dogs.
*
I understand that as a parent/guardian it is my responsibility to read the entire Family Handbook (insert link), and that I will adhere to all protocols and expectations therein.
*
My student has permission to participate in out lunch. I have reviewed the Out-Lunch Policy with my student, as stated in the Family Handbook. We understand that Out-Lunch is a privilege that can be revoked/suspended by the school or a parent/guardian at any time.
Clear selection
I consent to the following information shared in the school directory. Choose the information you would like to share or choose none. *
Required
By electronically signing this form and clicking the SUBMIT button, I am attesting that all of the information entered on this form is true and accurate. Please write your LEGAL first and last name below.
*
Submit
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