PCMS Post Camp Fire Community Survey 1/7/19
Please complete this form if you have a student currently enrolled at PCMS, or if you would like to enroll your student at PCMS as a 6th grader in the 2019-2020 school year. We understand situations are very fluid at this time, please answer to the best of your ability.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Current Grade *
Student's Gender *
Contact Name (Parent / Guardian) *
Your answer
Phone Number *
Please add the BEST number at which we can reach you.
Your answer
Parent Email *
Your answer
Current Mailing Address (include city and zip)
Your answer
Current City of Residence
Your answer
Emergency Contact #1 *
Please add the name of an emergency contact and the BEST number at which we can reach them.
Your answer
Emergency Contact #2
Please add the name of an emergency contact and the BEST number at which we can reach them.
Your answer
What is the situation regarding your family home after the Camp Fire?
Will transportation to/from PCMS be an issue for your family while we are holding school in Chico? Please select all that apply.
Comments regarding transportation needs (optional)
Your answer
If PCMS were to continue holding school in a Chico location in the 2019-2020 school year, would your child attend PCMS?
If PCMS were to move back to our Paradise PCMS campus in the 2019-2020 school year, would your child continue to attend PCMS?
Comments (optional)
Your answer
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