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Welcome to the 2020-2021 School Year!
Please fill out all of the information. It will help me in case of emergencies and to know more about your child.
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Email
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Your email
CONTACT INFORMATION
Child's Name
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Your answer
Birthday
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MM
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DD
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YYYY
Parent/ Guardian Names
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Your answer
Parent/ Guardian E-Mail
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Your answer
Child lives with _____
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Your answer
Home Address
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Your answer
Contact Numbers (please put a * by the number you would prefer me to call first)
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Your answer
Emergency Contact Name & Number
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Your answer
ABOUT YOUR CHILD
Does your child have any siblings at this school? Please indicate what grade level and class they are in.
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Your answer
Please list any foods, stings, etc. that may cause allergic reactions with your child below.
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Your answer
Please list TWO goals you would like to set for your child this year.
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Your answer
What are your child's out of school interests and activities? (baseball games, piano, dance recitals, etc.) I would love to attend your child's activities outside of school (if I can!).
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Your answer
What motivates your child?
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Your answer
What upsets your child?
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Your answer
Do you have any special concerns about your child (academically, socially, medically)?
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Your answer
ONLINE LEARNING
How comfortable are you with distance learning? (5 being the most)
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How comfortable is your child with distance learning? (5 being the most)
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5
Distance learning would be easier if...
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Your answer
Is there an adult able to help with your child's at-home learning? If so, who?
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Your answer
I feel comfortable having my child complete ____ hours of schoolwork everyday?
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Your answer
Please use the space below to share your experiences with online learning last Spring. What went well, what didn't? What did your child enjoy/ not enjoy? What did you as the parent/guardian appreciate/struggle with? Any information you provide will be extremely helpful to make this year as stress-free and enjoyable as I can!
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Your answer
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