6th Grade Parent Questionnaire | Green Acres Baptist Church

Student Name

Parent Name

Address

City

State

Zip / Post Code

Parent Home Phone Number

Parent Cell Phone Number

Email

Best Way To Contact You

Sibling 1 Name

Sibling 1 Age

Sibling 2 Name

Sibling 2 Age

Sibling 3 Name

Sibling 3 Age

Birthdate

School Attends

School Activities

Hobbies

Friend Name

Most Positive Attribute

Previous Church Activities

ARE THERE ANY HEALTH, LEARNING OR EMOTIONAL CONCERNS WE NEED TO BE AWARE OF? YOU MAY LET US KNOW IN PERSON, IF YOU PREFER.

WHAT CONCERNS DO YOU HAVE ABOUT YOUR STUDENT'S MIDDLE SCHOOL EXPERIENCE?

I AM WILLING TO GIVE MY TIME TO

I AM WILLING TO

I AM WILLING TO GIVE FINANCIALLY

I Would Really Enjoy Helping With

What's The Single Most Important Thing We Can Do To Help You And Your Student Grow This Year?