Parent Involvement Institute Registration

Parent Involvement Institute Registration

Visit the PI Home Page for Institute dates and more information

Name:
Daytime or Home Phone:
Email address:
Address:
City:
Zip:

I am a:

Have you attended a Parent Institute before?
Yes     No

Do you have a working computer in your home?
Yes     No

Have you participated in the Computer for Kids Program? If so, when and what school?

Number of your children attending:
Elementary    Middle   High

Please tell us how many children attend each school.

I have student(s) attending

I have student(s) attending

I have student(s) attending

I have student(s) attending

I have student(s) attending

Please list the number of children, and their ages, who will need child care. Childcare is available for children ages 3-11.

Would you like to tell us anything else?