Appropriate School Support for K-12 Parents

Summer Classes Weeks of - July 8, July 15, July 22

Fill out this form to begin your registration for a class. You will receive a QuickBooks invoice for $600.00 to complete registration or $700.00 if you would like to add 1 individual coaching session, a savings of $60.00. Your enrollment in this class is complete only after tuition is paid.

***This course consists of a workbook and interactive discussion of best practices and skills that will allow you to offer appropriate school support to your child. Classes must have at least 4 parent participants to guarantee the discussions necessary for gaining the most insight; if we do not have 4 registered parents in a given month, we will offer you to move to another month or give a full refund.

We cannot refund missed classes once course materials are emailed to participants. We highly recommend that you register for the grade range that fits your child’s grade placement. If you choose to register for a grade range that is higher than you child’s, the skills and strategies may not match your child’s needs. If you are registering for a grade range that does not match your child’s grade, please tell us why in the Additional Information field of the questionnaire.

For questions, email us at info@essigeducationgroup.com.

Name

First Name

Last Name

Phone

(###)

###

####

Registration Choice

Session

Parenting Style

How would you describe your parenting style?

Diagnosed Issues

Does your child have diagnosed executive dysfunction? Are there other diagnosed disabilities?

After School Activities

What are your child's after school activities? Do these take considerable time from homework?

Electronics Management

Do you allow your child to manage their phone and gaming devices?

Relationship

Is your child's schoolwork, grades, or engagement causing you to have a strained relationship?

After School Schedule

Do you have an after school schedule that you have established, and your child clearly knows?

Schedule Consistency

Are you consistent with your follow-through on the after school schedule?

Class Goals

What do you hope to gain from this class?

How did you hear about this class?

Additional Information

Is there anything else that we should know about you, your child, or your relationship with your child that can help us make this the experience that you are hoping for? If you requested a session outside of your child's grade level, why?

Appropriate School Support for K-12 Parents

Summer Classes Weeks of - July 8, July 15, July 22

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