Online Parent Resource Center Checkout Form
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Parent Resource Center Check Out Form
Parent/Guardian, please fill out the following form if you would like to check out any items from our Parent Resource Center.
1.
Enter today's date.
*
mm/dd/yyyy
2.
Enter your student's name.
*
3.
Enter child's teacher name.
*
4.
Select child's grade level.
*
--Please Select--
K
1
2
3
4
5
5.
Enter Parent/Guardian email address.
*
6.
Do you want to check out reading resources from the Parent Resource Center?
*
--Please Select--
Yes
No
7.
Please check the following items you would like to check out in Reading.
Select no more than 2.
sight words
We Both Read books
Nonfiction/fiction grade level books
Frog Games
Phonics Readers
brochure/pamphlet to support my child in reading
Hot Dots, please specify topic/area of concern in text box below
Other, please specify
8.
Do you want to check out math resources from the Parent Resource Center?
*
--Please Select--
Yes
No
9.
Please list the math skill your child is struggling in.
10.
I understand that I can request two items for checkout and items should be returned to the Parent Resource Center within two to three weeks of check out. Our Parent Resource Center is funded by the Title I program.
*
--Please Select--
Yes
No
11.
Resources and supplies for the Parent Resource Center are funded through our Title I Parent and Family Engagement budget. Resources and supplies that are purchased are determined by your input! Please contact Crystal Dankert, cdankert@paulding.k12.ga.us, 678-838-2683 if there are any other resources you need to support your child. Our Parent Resource Center is located in the main hallway past the media center.