Personal Visit Day Request
Student's first name *
Your answer
Student's last name *
Your answer
Student's email address
Your answer
Who is attending Visit Day? *
Please check the box that applies.
Required
Is the student male or female? *
Required
Current grade *
Please indicate the grade the student is in this school year.
Current school *
Please check the box by the current school your student attends.
Date you would like to visit *
MM
/
DD
/
YYYY
Parent's first name *
Your answer
Parent's last name *
Your answer
Home address *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent's email address *
Your answer
Home phone number: *
Your answer
Emergency contact number *
In case we need to contact a parent on Visit Day due to an emergency.
Your answer
Family's current church *
Please fill in the church you currently attend or "none" if you aren't currently attending a church.
Your answer
Please check areas your child is interested in. *
Check all that apply
Required
How did you hear about our school? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Iowa Mennonite School.