Parent Input Form

Please return this form to your childs teacher by Friday, October 11, 2013.
Student: __________________________ Grade ___________ Teacher ____________________
Parent: _______________________________ Phone ___________________________________
Please place a number 1 next to your first choice for a conference time, a number 2 next to your second
choice. We will make every attempt to accommodate your schedule.
If you do not need a certain date/time please check here _______. Thank you!

Official conference week will be October 21-23; however, due to the number of
students and my after school classes, conferences will begin the week of October 14th.
Monday
10/13/13

Tuesday
10/14/13

Wednesday
10/16/13

Thursday
10/17/13

Friday
10/18/13

7:30 am

7:30 am

7:30 am

7:30 am

7:30 am

2:15 pm
Unavailable
due to
after school
classes

Meeting
Meeting
3:15 pm
3:45 pm

2:15 pm
Unavailable
due to
after school
classes

2:15 pm
2:45 pm
3:15 pm
3:45 pm

2:15 pm
2:45 pm

Monday
10/21/13

Tuesday
10/22/13

7:30 am

7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm

2:15 pm
Unavailable
due to
after school
classes

Tuesday
Evening
10/22/13

Wednesday
10/23/13

Thursday
Staff
Development
Day

Friday
Nevada Day
Holiday

7:30 am

4:30
5:00
5:30
6:00
6:30
7:00
7:30
4:30
5:00

2:15 pm
Unavailable
due to
after school
classes

Please list the name and teacher of any siblings attending Nate Mack Elementary.
Name ____________________________________ Teacher_________________________________
Name ____________________________________ Teacher_________________________________
Name ____________________________________ Teacher_________________________________