Child Information
Child's Teacher *
Child's name *
First and Last
Your answer
Child's nickname
(Optional)
Your answer
Preferred Contact Number *
Your answer
Parent #1 Name *
First and Last
Your answer
What skills do you have? (job or hobby) *
Your answer
Parent #2 Name *
First and Last
Your answer
What skills do you have? (job or hobby) *
Your answer
Child lives with: *
Siblings' names and ages.
Optional
Your answer
How does your child get home from school? *
What languages (other than English) does your child speak (or understand)? *
Your answer
Please share with me your child's strengths (academically and socially).
Your answer
Do you have any area(s) of concern (academic and/or social)?
Please be honest! If you have any concerns, I would love to know!
Your answer
What responsibilities does your child have at home?
Your answer
Does your child have any special interests and/or talents?
Is your child an amazing singer? Can he/she do a rubik's cube? Do they love to cook? Where does your student SHINE?
Your answer
Is there anything else that you would like to share?
Your answer
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