2010-2011 DCS Third Grade Contact Information:

1.
*

Your name:

 
2.
*

Name of your student:
3.
*

Relationship to student:
4.
*

Best phone number to reach you at during the school day:
5.
*

Which of the following best describes your access to the internet?

 (1 required)
I have a personal computer in my home..
I have access to a personal computer.
I have access to a computer at my work place.
I do not have access to a computer.
6.
*

Which of the following describes your use of email?

 (1 required)
I do not have an email address
I have one, but do not check it often.
I check my email daily.
I check my email several times a day.
My email is connected to my cell phone.
7.
*

How would your family prefer to receive information and communication from your student's teacher?
8.
*

In the event of an emergency school closing, would being notified by email be beneficial to you?
9.
*

Would you be available to help chaperone third grade field trips?

 (1 required)
yes
no
10.

Would you be available during the day to help with any of the following activities?
transplanting in the greenhouse   watering and moving greenhouse plants on the weekends
weeding and watering school gardens during the summer   assisting in the classroom with cooking projects
assisting with technology projects   assisting with math fact practice
11.
*

On most days, how will your student get home at the end of the school day?

 (1 required)
car   walk
bus   Clubhouse
other
12.

If other was chosen in the preceding question, please indicate below the method of transportation.
13.

Please use this box for any comments or questions. Thank you!

* Enter Your Email Address:

  

Discovery Charter School
200 Fuller Street
Columbus, WI 53925
Phone: 920 623-5952
Fax: 920 623-6026

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