Parent Input Form 2021 - 2022 School Year
Please only complete this form if you wish to share a concern or a specific need for your child's 2021-22 school year placement. This information will be given individual attention and consideration, as we value your insights. Please DO NOT request a specific teacher and/or put a teacher's name on this form as we are only looking for your input on the environment your child will work best in.

Classes will be heterogeneously grouped, with a balance of boys and girls as well as a wide range of ability levels.

Thank you for your interest & involvement in your child's education.

Ron Bailey
Principal
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Child's Name *
Grade for 2021 - 2022 (check-one) *
Required
Parent(s) Name: *
Parent Phone Number: *
Please describe the special needs of your child regarding classroom placement. *
Describe the characteristics of adults who work well with your child, but please DO NOT request a specific teacher. *
Have you ever had a child in one of our classrooms at this grade level? *
Required
If yes, what teacher(s):
Was this a positive experience?
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