333 e. main st. child information sheet ashland, or … e. main st. ashland, or 97520 little red...
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333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Adams, Peter Very Long Classroom Name12
Male - DOB: 10/6/2014 (2 Yr - 1 Mo)
Allergic to peanuts
421 Main Street
Anytown, OR 97500
● Mailing ● Physical
Adams, Greg Dad
● Lives With ● Emergency ● Pickup421 Main Street
Anytown, OR 97500
● Mailing ● Physical
Home 541 757-3333
Work 541 755-9463
Cell 541 245-6789
Adams, Maria Mom
● Lives With ● Emergency ● Pickup421 Main Street
Anytown, OR 97500
● Mailing ● Physical
Home 541 757-3333
Cell 541 755-9463
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 1
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Adams, Wendy Kindergarten Room
Female - DOB: 6/21/2011 (5 Yr - 5 Mo)421 Main Street
Anytown, OR 97500
● Mailing ● Physical
Adams, Greg Dad
● Lives With ● Emergency ● Pickup421 Main Street
Anytown, OR 97500
● Mailing ● Physical
Home 541 757-3333
Work 541 755-9463
Cell 541 245-6789
Adams, Maria Mom
● Lives With ● Emergency ● Pickup421 Main Street
Anytown, OR 97500
● Mailing ● Physical
Home 541 757-3333
Cell 541 755-9463
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 2
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Boop, Betty PreKindergarten
Female - DOB: 5/2/2012 (4 Yr - 6 Mo)345 Piccadily Circle
Ashland, OR 97520
● Mailing ● Physical
Johnson, James Foster Parent
● Lives With ● Emergency ● Pickup345 Piccadily Circle
Ashland, OR 97520
● Mailing ● Physical
Home 541 488-9999
Work 541 488-7666
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 3
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Boop, Billy Twos Room
Male - DOB: 11/18/2013 (3 Yr - 0 Mo)345 Piccadily Circle
Ashland, OR 97520
● Mailing ● Physical
Johnson, James Foster Parent
● Lives With ● Emergency ● Pickup345 Piccadily Circle
Ashland, OR 97520
● Mailing ● Physical
Home 541 488-9999
Work 541 488-7666
Adamas, Gregggggg Unknown
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 4
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Brady, Cindy Toddlers Room
Female - DOB: 3/6/2015 (1 Yr - 8 Mo)
Cindy acts out in frustration and can sometimes hit.
No allergy medicine
566 South Drive
Anytown, OR 97500
● Mailing ● Physical
Brady, Mike Dad
● Lives With ● Emergency ● Pickup566 South Drive
Anytown, OR 97500
● Mailing ● Physical
Home 541 488-1157
Cell 541 266-1111
Brady, Carol Mom
● Lives With ● Emergency ● Pickup566 South Drive
Anytown, OR 97500
● Mailing ● Physical
Home 541 488-1157
Work 541 788-3610
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 5
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Brady, Peter School Age
Male - DOB: 4/4/2010 (6 Yr - 7 Mo)566 South Drive
Anytown, OR 97500
● Mailing ● Physical
Brady, Mike Unknown
566 South Drive
Anytown, OR 97500
● Mailing ● Physical
Home 541 488-1157
Cell 541 266-1111
Brady, Carol Unknown
566 South Drive
Anytown, OR 97500
● Mailing ● Physical
Home 541 488-1157
Work 541 788-3610
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 6
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Bundy, Bud D PreKindergarten
Male - DOB: 5/19/2012 (4 Yr - 6 Mo)
Bites
878 Lazy Drive
Medford, OR 97501
● Mailing ● Physical
Bundy, Al Dad
● Lives With ● Emergency ● Pickup878 Lazy Drive Apt B
Medford, OR 97501
● Mailing ● Physical
Home 541 734-6767
Cell 541 773-0707
Bundy, Peg Mom
● Emergency ● Pickup878 Lazy Drive Apt A
Medford, OR 97501
● Mailing ● Physical
Home 541 734-6767
Cell 541 773-0903
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 7
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Bundy, Kelly Kindergarten Room
Female - DOB: 6/5/2011 (5 Yr - 5 Mo)
No dairy
878 Lazy Drive
Medford, OR 97501
● Mailing ● Physical
Bundy, Al Dad
● Emergency ● Pickup878 Lazy Drive Apt B
Medford, OR 97501
● Mailing ● Physical
Home 541 734-6767
Cell 541 773-0707
Bundy, Peg Mom
● Lives With ● Emergency ● Pickup878 Lazy Drive Apt A
Medford, OR 97501
● Mailing ● Physical
Home 541 734-6767
Cell 541 773-0903
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 8
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Combs, Chris A School Age
Female - DOB: 6/14/2010 (6 Yr - 5 Mo)708 S. Peach
Anytown, OR 97500
● Mailing ● Physical
Combs, Charla Unknown
708 S. Peach
Anytown, OR 97500
● Mailing ● Physical
Home 541 772-1242
Cell 541 488-1587
Combs, Craig Unknown
708 S. Peach
Anytown, OR 97500
● Mailing ● Physical
Home 541 772-1242
Cell 541 488-1839
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 9
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Combs, Megan Very Long Classroom Name12
Female - DOB: 12/22/2015 (0 Yr - 11 Mo)708 S. Peach
Anytown, OR 97500
● Mailing ● Physical
Combs, Charla Mom
● Lives With ● Emergency ● Pickup708 S. Peach
Anytown, OR 97500
● Mailing ● Physical
Home 541 772-1242
Cell 541 488-1587
Combs, Craig Dad
● Lives With ● Emergency ● Pickup708 S. Peach
Anytown, OR 97500
● Mailing ● Physical
Home 541 772-1242
Cell 541 488-1839
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 10
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Huxtable, Rudy Toddlers Room
Female - DOB: 1/21/2015 (1 Yr - 10 Mo)444 Cosby Drive
Anytown, OR 97500
● Mailing ● Physical
Huxtable, Cliff Dad
● Lives With ● Emergency ● Pickup444 Cosby Drive
Anytown, OR 97500
● Mailing ● Physical
Home 541 773-0300
Cell 541 773-9999
Huxtable, Claire Mom
● Lives With ● Emergency ● Pickup444 Cosby Drive
Anytown, OR 97500
● Mailing ● Physical
Home 541 773-0000
Work 541 773-9999
Cell 541 899-7899
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 11
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Ingalls, Laura Twos Room
Female - DOB: 6/12/2014 (2 Yr - 5 Mo)234 Little House Road
Prairie Bluff, OR 97744
● Mailing ● Physical
Ingalls, Charles Dad
● Emergency ● Pickup234 Little House Road
Prairie Bluff, OR 97744
● Mailing ● Physical
Home 541 266-7448
Cell 541 788-9112
Ingalls, Carolyn Mom
● Lives With ● Emergency ● Pickup234 Little House Road
Prairie Bluff, OR 97744
● Mailing ● Physical
Home 541 266-7448
Cell 541 555-2255
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 12
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Ingalls, Mary F School Age
Female - DOB: 6/19/2010 (6 Yr - 5 Mo)234 Little House Road
Prairie Bluff, OR 97744
● Mailing ● Physical
Ingalls, Charles Dad
● Emergency ● Pickup234 Little House Road
Prairie Bluff, OR 97744
● Mailing ● Physical
Home 541 266-7448
Cell 541 788-9112
Ingalls, Carolyn Mom
● Lives With ● Emergency ● Pickup234 Little House Road
Prairie Bluff, OR 97744
● Mailing ● Physical
Home 541 266-7448
Cell 541 555-2255
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 13
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Jetson, Eldon Kindergarten Room
Male - DOB: 5/16/2011 (5 Yr - 6 Mo)14 Planet Drive
Jupiter, OR 97878
● Mailing ● Physical
Jetson, George Dad
● Lives With ● Emergency ● Pickup14 Planet Drive
Jupiter, OR 97878
● Mailing ● Physical
Home 541 655-5566
Work 541 897-5745
Cell 541 255-3131
Jetson, Jane Mom
● Lives With ● Emergency ● Pickup14 Planet Drive
Jupiter, OR 97878
● Mailing ● Physical
Home 541 655-5566
Work 541 897-5755
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 14
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Jetson, Judy School Age
Female - DOB: 4/18/2010 (6 Yr - 7 Mo)14 Planet Drive
Jupiter, OR 97878
● Mailing ● Physical
Jetson, George Dad
● Lives With ● Emergency ● Pickup14 Planet Drive
Jupiter, OR 97878
● Mailing ● Physical
Home 541 655-5566
Work 541 897-5745
Cell 541 255-3131
Jetson, Jane Mom
● Lives With ● Emergency ● Pickup14 Planet Drive
Jupiter, OR 97878
● Mailing ● Physical
Home 541 655-5566
Work 541 897-5755
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 15
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Munster, Eddie W Toddlers Room
Male - DOB: 12/22/2014 (1 Yr - 11 Mo)555 Halloween Dr.
Ghoulville, OR 97777
● Mailing ● Physical
Munster, Herman Dad
● Lives With ● Emergency ● Pickup555 Halloween Dr.
Ghoulville, OR 97777
● Mailing ● Physical
Home 541 779-9999
Work 800 338-3884
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 16
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Munster, Marilynn School Age
Female - DOB: 3/19/2010 (6 Yr - 8 Mo)555 Halloween Dr.
Ghoulville, OR 97777
● Mailing ● Physical
Munster, Herman Dad
● Lives With ● Emergency ● Pickup555 Halloween Dr.
Ghoulville, OR 97777
● Mailing ● Physical
Home 541 779-9999
Work 800 338-3884
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 17
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Stevens, Tabitha Twos Room
Female - DOB: 3/2/2014 (2 Yr - 8 Mo)575 Bewitched Drive
Ashland, OR 97520
● Mailing ● Physical
Stevens, Darren Dad
● Lives With ● Emergency ● Pickup575 Bewitched Drive
Ashland, OR 97520
● Mailing ● Physical
Home 541 488-1111
Cell 541 555-1111
Stevens, Samantha Mom
● Lives With ● Emergency ● Pickup575 Bewitched Drive
Ashland, OR 97520
● Mailing ● Physical
Home 541 488-1111
Cell 541 482-5646
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 18
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Taylor, Brad Twos Room
Male - DOB: 4/5/2014 (2 Yr - 7 Mo)445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Taylor, Tim Dad
● Lives With ● Emergency ● Pickup445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Home 541 773-7777
Work 541 488-9019
Taylor, Jill Mom
● Lives With ● Emergency ● Pickup445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Home 541 773-7777
Cell 541 224-0987
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 19
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Taylor, Mark PreKindergarten
Male - DOB: 4/24/2012 (4 Yr - 6 Mo)445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Taylor, Tim Dad
● Lives With ● Emergency ● Pickup445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Home 541 773-7777
Work 541 488-9019
Taylor, Jill Mom
● Lives With ● Emergency ● Pickup445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Home 541 773-7777
Cell 541 224-0987
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 20
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Taylor, Randy Toddlers Room
Male - DOB: 11/24/2014 (1 Yr - 11 Mo)445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Taylor, Tim Dad
● Lives With ● Emergency ● Pickup445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Home 541 773-7777
Work 541 488-9019
Taylor, Jill Mom
● Lives With ● Emergency ● Pickup445 Home Improvement Lane
Medford, OR 97504
● Mailing ● Physical
Home 541 773-7777
Cell 541 224-0987
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 21
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Thomas, Crissy K Twos Room
Female - DOB: 5/20/2014 (2 Yr - 6 Mo)1205 Old Ferry Rd
Shady Cove, OR 97444
● Mailing ● Physical
Thomas, Kathy Mom
● Lives With ● Emergency ● Pickup1205 Old Ferry Rd
Shady Cove, OR 97444
● Mailing ● Physical
Cell 541 826-2223
Thomas, Fred Step Dad
● Lives With ● Emergency ● Pickup49 W. Royal Road
Anytown, OR 97500
● Mailing ● Physical
Home 541 458-2311
Work 541 488-9011
Adams, Greg Unknown
421 Main Street
Anytown, OR 97500
● Mailing ● Physical
Home 541 757-3333
Work 541 755-9463
Cell 541 245-6789
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 22
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Thomas, Nicole Kindergarten Room
Male - DOB: 3/20/2011 (5 Yr - 8 Mo)1205 Old Ferry Rd
Shady Cove, OR 97444
● Mailing ● Physical
Thomas, Kathy Mom
● Lives With ● Emergency ● Pickup1205 Old Ferry Rd
Shady Cove, OR 97444
● Mailing ● Physical
Cell 541 826-2223
Thomas, Fred Step Dad
● Lives With ● Emergency ● Pickup49 W. Royal Road
Anytown, OR 97500
● Mailing ● Physical
Home 541 458-2311
Work 541 488-9011
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 23
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Walton, Erin Very Long Classroom Name12
Female - DOB: 12/28/2015 (0 Yr - 10 Mo)1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Walton, John Dad
● Lives With ● Emergency ● Pickup1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Home 541 734-9020
Cell 541 488-9090
Walton, Olivia Mom
● Lives With ● Emergency ● Pickup1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Home 541 734-9020
Work 541 488-9090
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 24
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Walton, Jason Toddlers Room
Male - DOB: 11/27/2014 (1 Yr - 11 Mo)1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Walton, John Dad
● Lives With ● Emergency ● Pickup1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Home 541 734-9020
Cell 541 488-9090
Walton, Olivia Mom
● Lives With ● Emergency ● Pickup1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Home 541 734-9020
Work 541 488-9090
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 25
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Walton, John Boy F School Age
Male - DOB: 12/28/2000 (15 Yr - 10 Mo)1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Walton, John Step Dad
● Lives With ● Emergency ● Pickup1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Home 541 734-9020
Cell 541 488-9090
Walton, Olivia Mom
● Lives With ● Emergency ● Pickup1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Home 541 734-9020
Work 541 488-9090
admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 26
333 E. Main St.
Ashland, OR 97520
Little Red Schoolhouse #1
541-555-1122
TaxID: 12-3456789
Child Information Sheet
Walton, Mary Ellen PreKindergarten
Female - DOB: 5/29/2012 (4 Yr - 5 Mo)1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Walton, John Dad
● Lives With ● Emergency ● Pickup1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Home 541 734-9020
Cell 541 488-9090
Walton, Olivia Mom
● Lives With ● Emergency ● Pickup1 Walton's Mountain
Walton, OR 98887
● Mailing ● Physical
Home 541 734-9020
Work 541 488-9090
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admn: Child: Information Sheet w/ Photo, FD_ChildRelationships01.rpt11/23/2016 -- Page 27