Find the Genius in your child!

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* 1. What is your child's name, age, grade level and birthday?

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* 2. What is the best way to contact you? Email? Phone? Or text? Please list your contact information.

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* 3. What are your child's strengths, areas of gifting?

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* 4. What are your child's challenges?

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* 5. Overall, what has school been like for your child?

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* 6. Are there any learning challenges that are causing homework stress and/or hurting classroom performance, and need immediate intervention?

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* 7. What would you like to see as a result of this program?

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