Parent Information Form
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What is your name? *
What is your child's name? *
What is your preferred language of communication? *
What is your preferred method of communication? *
What’s your phone number? *
What’s your email? *
Tell me 3 words that describe your child. *
What are your child’s best characteristics? *
What are your child’s struggles? *
How can I help your child if he/she is having a tough day? *
What would you like your child to accomplish this year? (This can be school related or not. Feel free to share any goals you have for him/her.) *
What else would you like me to know?
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