Parent Questionaire
Student First Name *
Your answer
Student Last Name *
Your answer
Date of Birth *
Your answer
Student Lives With *
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 *
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