F-104 Questionnaire for Families

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Please answer the following questions.

Student Name (First and Last) *

Parent Name(s) (First and Last) *

What is the best phone number to reach you? *

What is the best email address to reach you? *

Please indicate how your child will mostly get home. *

Bus

Car

Walk

Other:

Is your child allowed to say the Pledge of Allegiance? *

Yes

Is it okay for your child to celebrate birthdays? *

Yes

Other:

Is it okay for your child to participate in literacy and art activities related to holidays like Halloween, Thanksgiving, Christmas, Valentine's Day, etc.? *

Yes

Other:

What are three words that best describe your child? *

What are two things I should know about your child? *

What is one wish you have for your child this school year? *

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This form was created inside of Hawaii Department of Education.