Dragon Team 2023-2024

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Please complete the questions below to help us stay connected with you during the year.

What is your student's LAST NAME? *

What is your student's FIRST NAME? *

What is YOUR name? (first and last) *

What is your relationship to this student (mother, step-father, grandmother, etc.) *

What is your email address? *

Are there any additional EMAIL ADDRESSES you would like to have added to our newsletter distribution list?

How often do you check this email address? *

Multiple times per day

Once a day

Once every few days

Once a week

Rarely

How does your child access the internet at home? *

Please check all that apply

School-provided chrome book

Personal home computer/laptop

Tablet (iPad, galaxy, etc.)

Smartphone

We do not have the internet at home

Other:

Required

If you indicated that you do not have the internet at home, how does your child access the internet for school work?

Please check all that apply

We go to the library

We go to a friend or neighbor's house

We go somewhere with free Wi-Fi (ex. Panera)

We have no way to access the internet

Other:

What is the best phone number to use to reach you between the hours of 7:00 AM and 3:00 PM? *

Are there any special instructions to know when calling you? Extension, who to ask for, etc.

Would you prefer communication in a language other than English? *

Yes

If you answered "yes" above, which language is most comfortable for you?

How did your student learn last year? *

In person at Parkland

In Parkland's cyber program

In person at another school district

In another school/provider's cyber program

Homeschooled

Other:

What is your biggest goal for your student this year? *

What do you absolutely want us to know about your student? *

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