Parent Form

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Parent Form

Please answer each question. I look forward to getting to know both your student and you this year. I appreciate you taking the time the complete this form.

1.	Student Name* Last Name, First Name

2.	What math course is the student currently enrolled in?* select from the choices in the dropdown menu.

3.	What period is the student enrolled in the math course?* select the period the student is taking the math course

4.	Your Name* Last Name, First Name

5.	What is your relation to the student?

6.	Email Please enter the email you would prefer me to contact you.

7.	Does your student enjoy math classes? *
	Yes Not Sure No

8.	How would you describe your student's math abilities?*

9.	Do you have any concerns regarding the class your student is enrolled in? If so, what are they?

10.	Is there anything else you want me to know right now about your student or your family? If so, please explain.

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