for Ms. Bethany's third grade class
What is the student's name?
What is your name and relationship to the student?
Did you child like school last year? Why or why not.
My child learns best when ______________________
My child struggles with ________________________
Will you be able to help your child with homework or projects?
Do you have any of the following at home? (check all that apply)
Does your child have any allergies?
What is your child afraid of?
Did you like school?
What is the most important thing I should know about your child or family?
If you work, what is your schedule like? (day/night?)
Anything else you would like to tell me that will help me make this a successful year?
The best way to reach me is
You can reach me at (leave email or phone #)
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This form was created inside of Bakersfield City School District.