Epstein Secrets

MILY PHYSICiAN (46) PHYSCIAN PHONE (48) Does your child currently have health Insurance? 0 YES 0 NO If YES. Indicate (47) HOSPITAL PREFERENCE p Medicaid 0 Private • Healthy Kids, l60 Care ID interested In receiving information PARENTS/GUARDIAN'S OTHER CHILDREN IN PALM BEACH COUNTY SCHOOLS (49)

1 - Inadequate effort and participation: parent conference requested FINE ARTS REPORT Marking Period 1st 2nd 3rd 4th 3 3 Art Music _3 33 Physical Education 3 3 ,3 School _ Principal SOCIAL DEVELOPMENT/CLASSROOM STUDY HABITS Please work on the area(s) that have a check (I). Marking Period 1st 2nd

0 Yes (Permission is void through grade 5.) 0 No 6. Does your child currently have health Insurance? ;Yes Q No p If YES, check insurance plan: 0 Medicaid 0 Healthy Kids/Kid Care IXPrivate K Interested in receiving information 7. All new students to Palm Beach County are required to answer the followin

s A a- Aci- ,81" Ertl C Science / 5 5 S *Sri— ,r4 Health 4, a a- a- /7- Music 5. 5 sst- ,..5.4 5 II- ...0-: Art 5 SI- ,54- S )e--- .5/— Physical Education 5 5 -.5' S. C f Promoted or Retained Teacher 2 4, (7‘ EFTA01710052 Elementary Test Record Student CTBS/4 FORM/ LEVEL A-11 GRADE • 1.

0 Yes (Permission is void through grade 5.) 0 No 6. Does your child currently have health Insurance? ;Yes Q No p If YES, check insurance plan: 0 Medicaid 0 Healthy Kids/Kid Care IXPrivate K Interested in receiving information 7. All new students to Palm Beach County are required to answer the followin

s A a- Aci- ,81" Ertl C Science / 5 5 S *Sri— ,r4 Health 4, a a- a- /7- Music 5. 5 sst- ,..5.4 5 II- ...0-: Art 5 SI- ,54- S )e--- .5/— Physical Education 5 5 -.5' S. C f Promoted or Retained Teacher 2 4, (7‘ EFTA01727105 Elementary Test Record Student CTBS/4 FORM/ LEVEL A-11 GRADE • 1.