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Madison Family Check-In Form 2020-2021
We really care about each of our families and want to be here to support you. Please complete this form if we can be of assistance.
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* Indicates required question
Email
*
Your email
Student Name (First and Last)
*
Your answer
Who is filling out this form? (First and Last)
*
Your answer
Relationship to student
*
Your answer
Select Student's Class
*
Choose
PreK-Barth
PreK-Bedell
K-Fisher
K-Horner
K-Winn
K- Mikessells (Remote)
K-Nelson
1-Brumet
1-Chitwood
1-Fotovich
1-Russell
1-Scott (Remote)
2-Cortez
2- Crabbs (Remote)
2-Noble
2-O'Grady
2-Wessel
3-Cipolla (Remote)
3-George (Remote)
3-Gilmore
3-Harding
3-Patterson
3-Sigman
3-Sikes
4- Fitzgerald (Remote)
4-Foster
4-Long
4-O'Grady
4-Truitt
Please check any boxes that relate to the need of your student or family.
*
Physical Needs (community resources for food, clothing, bill payment assistance)
Emotional or Mental Health Needs
Academic Needs
Other:
Required
Who would you like to receive contact from?
*
Dr. Wachel, principal
Mrs. King, assistant principal
Mrs. Hodson, school social worker
Mrs. Clegg, school counselor
Classroom Teacher
Other:
Required
What is the best way to contact you?
*
Email
Phone Call
Video Call
Required
Preferred Contact Info
*
Your answer
Is there anything you would like to share?
Your answer
Submit
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This form was created inside of USD 231 Gardner Edgerton Schools.
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