Cobb Preparatory Academy Support Petition Question Title * 1. I support the efforts to bring a statewide charter school option to the Smyrna Area Yes No Question Title * 2. Name Question Title * 3. Address Question Title * 4. Phone Number Question Title * 5. E-Mail Question Title * 6. Number of Children 0 1 2 3 4 5 6 7 8 9 or more Question Title * 7. Grade of Children (Check All that Apply) Not Applicable Not School Age Pre-School 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Other Other (please specify) Question Title * 8. Would you like to be actively involved in the efforts (work on a committee, host a meeting, distribute information, etc)? Yes No Question Title * 9. If answered yes above, how would you like to be involved? Question Title * 10. What is best way to contact you? Phone Email Other Other (please specify) Question Title * 11. I would like to receive email updates at the address listed above Yes No Done