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Student Information
Aloha! Please fill out this form so that I am able to get to know your child a little bette.
Mahalo,
Mrs. DeBois
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* Indicates required question
Student's Name (First and Last)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
State born in
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Your answer
Mom's/Guardian's Name
*
Your answer
Mom's/Guardian's e-mail
*
Your answer
Mom's/Guardian's Phone Number
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Your answer
Is it okay to text?
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Yes
No, thank you.
Dad's/Guardian's Name
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Your answer
Dad's/Guardian's Name e-mail
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Your answer
Dad's/Guardian's Name Phone Number
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Your answer
Is it okay to text?
*
Yes
No, thank you.
Address
*
Your answer
Transportation
*
Bus (if bus please click other and include bus route number)
VIK
Parent Pick-Up
Walker
Other:
Required
Does your child have any health conditions, i.e. asthma, allergies?
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Your answer
Are there any family issues that could affect your child's performance in class?
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Your answer
Are there any personality traits or behavioral issues I should be aware of?
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Your answer
What are your child's strengths?
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Your answer
What does your child need extra help with?
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Your answer
Does your child have a particular learning style? (hands-on, visual, auditory, etc.)
*
Your answer
Does your child have any special interests? (hobbies, sports, etc.)
*
Your answer
What else do you think I should know about your child?
*
Your answer
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