| Name | Description | Type | Additional information |
|---|---|---|---|
| ID | integer |
None. |
|
| USER_ID | integer |
None. |
|
| First_Name | string |
None. |
|
| Last_Name | string |
None. |
|
| MI | string |
None. |
|
| Grade | string |
None. |
|
| DOB | date |
None. |
|
| HomeAddress_Address | string |
None. |
|
| HomeAddress_Town | string |
None. |
|
| HomeAddress_ZIP | string |
None. |
|
| HomeAddress_Phone | string |
None. |
|
| HomeAddress_EmailAddress | string |
None. |
|
| Father_Name | string |
None. |
|
| Father_WorkPhone | string |
None. |
|
| Father_CellPhone | string |
None. |
|
| FatherAddress_IfDiffrent_Address | string |
None. |
|
| FatherAddress_IfDiffrent_Town | string |
None. |
|
| FatherAddress_IfDiffrent_ZIP | string |
None. |
|
| FatherAddress_IfDiffrent_Phone | string |
None. |
|
| FatherAddress_IfDiffrent_EmailAddress | string |
None. |
|
| Mother_Name | string |
None. |
|
| Mother_WorkPhone | string |
None. |
|
| Mother_CellPhone | string |
None. |
|
| MotherAddress_IfDiffrent_Address | string |
None. |
|
| MotherAddress_IfDiffrent_Town | string |
None. |
|
| MotherAddress_IfDiffrent_ZIP | string |
None. |
|
| MotherAddress_IfDiffrent_Phone | string |
None. |
|
| MotherAddress_IfDiffrent_EmailAddress | string |
None. |
|
| SecondMailing_Requested_FLG | integer |
None. |
|
| Emergency_Contact_Name | string |
None. |
|
| Emergency_Contact_Phone | string |
None. |
|
| Emergency_Contact_Relationship | string |
None. |
|
| Physician | string |
None. |
|
| PhysicianPhone | string |
None. |
|
| Medications | string |
None. |
|
| Allergies | string |
None. |
|
| PreferredHospital_MonomounthMedCenter_FLG | integer |
None. |
|
| PreferredHospital_RevierViewMedCenter_FLG | integer |
None. |
|
| Other_PreferredHospital | string |
None. |
|
| ParentOrGuardianSign | string |
None. |
|
| Form_Date | date |
None. |
|
| StudentId | integer |
None. |
|
| Pupil_Have_Health_Insurance_FLG | integer |
None. |
|
| Insurance_Company_Name | string |
None. |
|
| Apply_Online_NJ_Family_Care_FLG | integer |
None. |
|
| Release_My_Iinfo_To_NJ_Family_Care_FLG | integer |
None. |
|
| Signature | string |
None. |
|
| PrintedName | string |
None. |
|
| FinalDate | date |
None. |
|
| DocUrl | string |
None. |
|
| Form_Created_Date_Time | date |
None. |
|
| Is_Deleted | integer |
None. |