Parent/Guardian Questionnaire
Please complete the following form.
Student's Last Name *
Your answer
Student First Name *
Your answer
Parent/Guardian Names *
Your answer
Day time phone number *
Your answer
Evening contact phone number *
Your answer
Primary email address *
Your answer
Secondary email address
Your answer
Contact preference *
Emergency Contact Information *
Your answer
Are you interested in volunteering in the classroom? If so, what days and times are you available?
Your answer
Does your child have any special interests?
Your answer
What do you feel are your child's strengths?
Your answer
What areas would you like your child to work on?
Your answer
Is there anything else I should know about you or your child?
Your answer
Does your child have any dietary restrictions? *
Your answer
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