New Kindergarten Parent Survey June 2019
Thanks for your interest in YA! Please take this survey to help us get to know your family better.
Student's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
What grade level will your child be entering in September 2019? *
Parent/ Guardian Name ( #1) *
Your answer
Relationship to child *
Your answer
Address *
Your answer
Best Contact Number *
Your answer
Email address *
Your answer
Occupation
Your answer
Parent/Guardian Name (#2)
Your answer
Relationship to child
Your answer
Address
Your answer
Best Contact Number
Your answer
Email address
Your answer
Occupation
Your answer
With whom does the child live? *
Your answer
Any notes on custody issues?
Your answer
Any siblings? Please list names & ages *
Your answer
Prior to Young Achievers , my child attended *
Where did they attend?
Your answer
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