NEW IMS FAMILY INFORMATION

Please fill in the following form if you would like to be paired with an IMS New Family Ambassador.

*** PLEASE NOTE: ALL ENTERED INFORMATION WILL NOT BE USED FOR ANY PURPOSE OTHER THAN THE PTSA AMBASSADOR PROGRAM***

Parent/Guardian First Name *
Please enter your first name
Your answer
Parent/Guardian Last Name *
Please enter your last name
Your answer
Parent/Guardian Email Address *
Please enter the best email address to contact you
Your answer
Parent/Guardian Phone
Please enter the best phone number to reach you
Your answer
Primary Guardian Preferred Method of Contact *
Would you prefer that we contact you via email or phone? Please be sure to include appropriate info above.
Area Where you Now Live
(e.g., Issaquah, Highlands, Lakemont, Montreux...)
Your answer
Relocating From - Either Internationally or US State *
Where are you moving from? Within WA state, internationally or from another state?
If within Washington, please specify city and/or school district. If International relocation, please specify country
Please enter more detail regarding where your family moved from.
Your answer
If you would like access to an interpreter, for which language?
Sorry, we cannot guarantee help with all languages
Your answer
Middle School Student #1 First & Last Names *
Your answer
Student #1 Gender
Student #1 Grade *
Student #1 Primary Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Student #1 Secondary Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Student #1 Other Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Middle School Student #2 First & Last Name
Your answer
Student #2 Gender
Student #2 Grade
Student #2 Primary Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Student #2 Secondary Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Student #2 Other Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Middle School Student #3 First & Last Name
Your answer
Student #3 Gender
Student #3 Grade
Student #3 Primary Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Student #3 Secondary Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Student #3 Other Extracurricular Activity
For example: sports, clubs, activities...
Your answer
Do you have other students within Issaquah School District? If yes, please include their grade & school.
Your answer
Any other information that may be helpful.
Your answer
Your answer
To Learn More about the IM PTSA and the Programs and Events it sponsors, please visit the website: http://issaquahmiddleptsa.org/Home
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