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Student/Parent Information Form
Please fill out the following form with information on your child.
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* Indicates required question
Student Name
*
Your answer
Your Child's Teachers
*
Clark/Meurer-Lynn
Taylor/Harr
Parent Name(s)
*
Your answer
Email Address
*
Your answer
Phone Number
Your answer
Parent Name(s)
Your answer
Email Address
Your answer
Phone Number
Your answer
For parent/guardian communication, who should we contact?
*
For example, mom and dad live in separate home, please contact both of us.
Your answer
Please share with us some of your child's strengths.
Your answer
What is a goal you have for you child this year?
Your answer
Any additional information you feel we should know about your child.
Your answer
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