Parent's Name

First Name

Last Name

Email Address

Student's Name

Please complete a separate form for each child. After submitting the form, refresh the page to submit another.

First Name

Last Name

At what grade level do you anticipate your child being enrolled?

Rate Student's Success in Math

How would you rate your child's current success in math? You may use a scale of 1 (poor) to 10 (great) and give as much or as little additional information as you like.

How do you anticipate paying for classes?

Charter School Funds

Out of Pocket

Combination of both

In what charter school is your child enrolled?

Is your child colorblind?

Mrs. Fish frequently uses color to emphasize steps during instruction. She will avoid using greens/reds if a student is colorblind.

Yes

Don't know

Questions?

Mrs. Fish is happy to answer any questions you may have.

Phone

Mrs. Fish would like to text you to let you know she has responded by email. Her initial emails to families frequently land in spam folders.

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