DCIS Parent/Guardian Involvement Form
The mission of the DCIS PTSA is to engage and empower parents, teachers, students and staff in order to foster a sense of community, pride and involvement.

By completing this form, you are showing you care about your child's education. Thank you!

First Name
Your answer
Last Name
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Email
Your answer
Land Line Number
Your answer
Cell Phone
Your answer
OK to Text?
PTSA ACTIVITIES
Check the boxes of the areas in which you'd like to be involved:
Leadership Interest?
Do you work during the school day?
If you are employed, what is your occupation?
Your answer
Who is your employer?
Your answer
Do you own or work for a company/organization that provides any of the following?
Check all that apply
I am comfortable communicating in (check all that apply):
I would be more likely to attend gatherings/events if the following were provided:
STUDENT #1: Student Name
Complete this information for your youngest student enrolled at DCIS.
Your answer
STUDENT #1: Language
Chinese
Lakota
Spanish
Japanese
French
Italian
Not Answered
Language
STUDENT #1: Grade
6th
7th
8th
9th
10th
11th
12th
Grade
STUDENT #1: Name of Advisory Teacher
Your answer
STUDENT #2: Student Name
Please include your 2nd child enrolled at DCIS (if applicable).
Your answer
STUDENT #2: Language
Chinese
Lakota
Spanish
Japanese
French
Italian
Not Answered
Language
STUDENT #2: Grade
6th
7th
8th
9th
10th
11th
12th
Grade
STUDENT #2: Name of Advisory Teacher
Your answer
STUDENT #3: Name, Language, Grade & Advisory Teacher
If have a 3rd student at DCIS, please put their information in this box.
Your answer
I enjoy and/or am really good at:
Your answer
ADDITIONAL COMMENTS
Your answer
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