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Getting to Know Your Child: Parent Form
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* Indicates required question
Please type your child's name.
*
Your answer
Please type your first and last name
*
Your answer
What is your relationship to (your) child?
Mother
Father
Other:
Clear selection
Your email address
*
Your answer
Your phone number
*
Pleas specify whether it is day/evening and home/work.
Your answer
Your home address
*
Your answer
Does your child have access to the Internet?
*
Never
Rarely (maybe once or twice a week)
Several times per week
Always, if needed for school
What do you feel are your child's strengths academically and/or socially?
*
Your answer
What do you feel are your child's challenges academically and/or socially?
*
Your answer
What are your hopes for your child in 5th grade and how would you like me to help?
*
Your answer
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