Parent Questionaire
* Required
Student First Name
*
Your answer
Student Last Name
*
Your answer
Date of Birth
*
Your answer
Student Lives With
*
Mother
Father
Both Parents
Legal Guardian
Guardian 1 Name:
*
Your answer
Guardian 1 Work Phone
*
Your answer
Guardian 1 Cell Phone
*
Your answer
Guardian 1 Email
*
Your answer
Guardian 2 Name:
*
Your answer
Guardian 2 Work Phone
Your answer
Guardian 2 Cell Phone
*
Your answer
Guardian 2 Email
Your answer
Please include any information about your child that I might find helpful (personality, strengths, weaknesses, learning style, etc.).
*
Your answer
Transportation for the First Day:
*
Your answer
Transportation for the Year:
*
Your answer
Allergies
*
Yes
No
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