1.What is your full name?

2.What is your child's full name?

3.What are your child's greatest strengths?

4.What are some areas that are challenging for your child?

5.My child's interests and hobbies include:

6.How does your child typically handle conflict with peers and parents?

7.Does your child have difficulty completing tasks? Please elaborate.

8.Have there ever been any concerns brought to your attention by previous teachers (academic, social, behavioral)? If so, please explain.

9.What have been your child's past experiences in school or in enrichment activities?

10.Do you plan to enroll in our after school childcare program? Please note, answering "yes" to this question now does not guarantee enrollment in our after school program.

Yes, from 1-2:45pm

Yes, I plan to enroll my child for the program later than 2:45pm.

No, my child will not participate in the after school child care program.

11.My primary reason for enrolling my child at Bridges is: