5th Grade Family Questionnaire 2024
Dear families,

We are so very excited to have your child in 5th grade this year! As your child's teachers, we would love to gather some information so that we can learn more about how to support your child throughout the school year. Please take a few minutes to complete the following questionnaire!

Thank you!

Bothwell 5th Grade Teachers 🧔
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Student’s Homeroom Teacher *
Student's Full Name *
Student's Nickname (if they prefer to be called something other than their first name)
Student's Birthdate *
MM
/
DD
/
YYYY
Student's T-shirt Size *
Student's Primary Address (where does the child receive mail)
*
Parent/Guardian #1: First & Last Name
*
Parent/Guardian #1: Relation to Student
*
Parent/GuardianĀ #1: Email
*
Parent/GuardianĀ #1: Phone Number
*
Parent/GuardianĀ #1: The best way to contact me is by (check all that apply):
*
Required
Parent/GuardianĀ #2: First & Last Name
*
Parent/GuardianĀ #2: Relation to Student
*
Parent/GuardianĀ #2: Email
*
Parent/GuardianĀ #2: Phone Number
*
Parent/GuardianĀ #2: The best way to contact me is by (check all that apply):
*
Required
List any other siblings attending Bothwell:

(Name, Grade Level, and Teacher)
How is your child getting home the FIRST DAY? *
How is your child getting homeĀ the rest of the year?
*
Does your child have internet/wifi access at home to work on school work? This could be on a table, computer, or cell phone.
*
Would you like to volunteer to be a ROOM PARENT for your 5th grader's class?Ā 
*If you select yes, you will receive an email from your child's teacher with further information.Ā 
*
Would you like to volunteer at Bothwell or in the classroom? *
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