Information About My Child

Students Name:
Birthday: Age:
Parents or Guardians Name(s):


Phone #: Email:

4 words that describe your
child are

1.


2.


3.


4.

What are your childs strengths?




What area would you like to see more improvement in?




How does your child feel about school?




Please include any other
information you would like
me to know about your
child.






What motivates your child?




List any school-aged siblings with grade level.