Parent Input Form
Please complete this form to help us gain insights on your child.  Thank you!
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Email *
Child's Name *
Age *
Birthdate *
MM
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DD
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YYYY
Please provide the phone number(s) you would like us to use. *
Names and Ages of Siblings *
How do you view your child as a reader? Are they enthusiastic, reluctant, etc? *
What goals do you have for your child as a reader? *
How do you view your child as a writer? Are they enthusiastic, reluctant, etc? *
What goals do you have for your child as a writer? *
How do you view your child as a mathematician?  Are they enthusiastic, reluctant, etc? *
What goals do you have for you child as a mathematician? *
What are the strengths of your child socially? *
What are goals you have for your child socially? *
Is there anything you'd like me to know about your child's kindergarten experience? *
Is there anything else you would like me to know about your child? (Interests, pets, sports, etc) *
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