Coaching with Seth Perler, Fall 2019, Boulder, CO
PARENTS: Please fill this out asap. Your information is private.
NOTE: If there are any support documents/reports you want me to have, please bring or send me a copy early in the semester so I can have time to review it.
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Email address
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Your email
Parent names. Note: please provide me with all RELEVANT parent info so I know what's going on. I just need to know about any parents/step-parents, relatives, sitters or others I will be in contact with.
Your answer
Other email addresses I need: Note: I have an email list for all adults who you want in the loop with updates relevant to coaching this fall.
Your answer
What times do you prefer I open for students on weekdays (think about what time your child would realistically be at the office most of the time. This will help me plan for everyone)
3:30
4:00
4:30
5:00
Clear selection
What time do you prefer to pick up your child by?
6:30
7:00
7:30
8:00
8:30
Clear selection
What date does your semester begin?
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DD
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YYYY
What date does your semester end?
MM
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DD
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YYYY
Relevant parent phones (let me know name and number so I can put into contact please)
Your answer
Other parent emails you want me to have on the list?
Your answer
Explain what days do you plan on attending? (note: this is flexible, but I need an idea so I can best plan for the group, so feel free to tell me your ideal) Tuesdays, Wednesdays and/or Thursdays? (Sundays are required)
Your answer
Student name, age, school and grade?
Your answer
Student Email?
Your answer
Student phone?
Your answer
Student portal link, username and password so we can access this information easily throughout the semester.
Your answer
Student's strengths, hobbies, interests, gifts, passions, talents, etc..
Your answer
Students greatest challenges?
Your answer
What do you want most for your child?
Your answer
What are you most afraid of for your child?
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How can I best help you and your child?
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What else do you want me to know?
Your answer
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