Coaching with Seth Perler, Spring 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.
Email address *
Parent names. Note: please provide me with all RELEVANT parent info so I know what's going on. I need to know about any parents/step-parents, relatives, sitters or others I will be in contact with.
Your answer
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)
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Other parent emails you want me to have on the list?
Your answer
What times do you anticipate your child will be at the office on Tuesdays, Wednesdays or Thursdays? What days do you plan on attending? (note: this is all flexible, but I need an idea so I can best plan for the group, so feel free to tell me your ideal)
Your answer
Student name, age, school and grade?
Your answer
Student Email?
Your answer
Student phone?
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Student portal link, username and password so we can access this information easily throughout the semester.
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Student's strengths, hobbies, interests, gifts, passions, talents, etc..
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Students greatest challenges?
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What do you want most for your child?
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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?
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