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Parent Questionnaire
Please take this opportunity to answer some questions that will help me know more about your child and his/her interests and needs.
* Indicates required question
Email
*
Your email
Your child's name
*
Your answer
Your child's birthday (mm/dd/yy)
*
Your answer
Parent/Guardian #1 (Name, Phone number)
*
Your answer
Parent/Guardian #2 (Name, Phone number)
Your answer
Family email address
*
Your answer
Do you check email daily?
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Yes
No
With whom does your child live? Please list siblings as well. If you have shared custody, it is helpful for me to be aware of arrangements.
*
Your answer
Does your child have internet access at home?
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Yes
No
Has your child previously attended Patriot Prep?
*
Yes
No
If applicable, please comment on any special academic, physical, mental, or emotional needs that your child may have. Please also list any medications your child takes on a daily basis.
Your answer
What motivates your child?
*
Your answer
What are your hopes and expectations for this year?
*
Your answer
Please write anything else you'd like me to know about your child and/or your family.
Your answer
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