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Parent/Guardian Questionnaire - Thomas HR
Please answer the following questions about your 6th grader.
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Student Name (Last Name, First Name)
*
Your answer
Student Birthdate (MM/DD/YYYY)
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Name
Your answer
Address
*
Your answer
Email Address
*
Your answer
Alternate Email Address
Your answer
Phone Number
*
Your answer
Additional Phone Number
Your answer
How will your child go home in the afternoons?
*
Bus Rider
Car Rider
Walker
Hot Wheels Bus
YMCA
After School Child Care at DPEE
Other:
If your child rides the bus in the afternoon, what is the bus number and/or driver's name?
Your answer
Is there any important information, including medical needs, that I need to know?
Your answer
If you are able to, please volunteer for the following:
PTO representative
Room Parent
Assist with Christmas Party
Assist with End of the Year Party
Other:
Clear selection
May I share your email address with my room parent?
*
Yes
No
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Other:
Does your student have internet access at home?
*
Yes
No
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