Parent/Guardian Name *

First Name

Last Name

Student Name *

First Name

Last Name

Which teacher would you like to meet with? *

Miss Kimi

Miss Cassy

Miss Em

Miss Corrine

Miss Priya

No preference

1st choice meeting date *

The teacher will reach out to you to confirm whether this date works for their schedule.

MM

DD

YYYY

Preferred meeting time *

Hour

Minute

Second

AM PM

Desired discussion topics *

Select all that apply

Behavior

Curriculum

Staff support

Student participation

Overall progress

Other