New Student Survey

If you are new to Room K2 please complete this survey.

* Indicates required field

Name of student you want Mr. Martocchio to use. *

First

Last

Parent/Guardian Name *

First

Last

Phone Number *

Email *

Additional Parent/Guardian Name *

First

Last

Phone Number *

Email *

Additional parent/guardian name *

First

Last

Phone Number *

Email *

additional parent/guardian name *

First

Last

Phone Number *

Email *

Please provide relative/friend name(s) and contact(s) in case Parent(s)/Guardian(s) can not be reached. *

Please provide the name(s) and relation(s) of the person/people who is/are NOT allowed to pick up your child. *

Please list any allergies your child has. If none, enter "none". *

Everything You Need To Know About K2 & InstructorDave.org *

I (we) have read the Everything You Need To Know About K2 & have become familiar with the other material found at InstructorDave.org

Photography and Video Opt In/Out *

I (we) DO want my (our) child(ren) to be photographed and in videos. I (we) DO NOT want my (our) child(ren) to be photographed or in videos.

Physical Education in Pioneer Park *

I (we) give permission for our child to go to Pioneer Park for recess and/or Physical Education under the supervision of Dave P. Martocchio

PLEASE INDICATE WHO WILL PICK UP YOUR CHILD AT THE END OF THE SCHOOL DAY.

MONDAY *

TUESDAY *

Wednesday *

Thursday *

Friday *

I offer free piano, drum, accordion, and ukulele lessons. You can have your child take any or all of these lessons by clicking on the links to the right. Drum, Accordion, and Ukulele lessons are by invitation only from August to Spring Break. After Spring Break anyone can take drum, accordion, and/or ukulele lessons. You will get an email response from Volunteer Sign Up saying thank you for volunteering. You are not volunteering for lessons, you have signed your child up to take lessons. This is just an automatic response that the Volunteer Sign Up site uses. It is the best free sign up site I can find but I can't change the email response.

Students should be picked up at the classroom at the end of their lesson. If your child is in an after school program I will bring them to their program after their lesson.

PIANO LESSONS from August to Spring Break sign up can be found HERE.

PIANO LESSONS for after Spring Break sign up can be found HERE.

DRUM LESSONS for after Spring Break sign up can be found HERE.

ACCORDION LESSONS for after Spring Break sign up can be found HERE.

UKULELE LESSONS for after Spring Break sign up can be found HERE.

Students who have lessons from 12:35 p.m. - 1:05 p.m. or 2:40 p.m. - 3:00 p.m. will participate in school activities in the classroom while they wait for their lesson to begin.

Class Contact List *

It is OK for my contact information to be published in a class roster to be distributed to all the parents/guardians. It is NOT OK for my contact information to be published in a class roster to be distributed to all the parents/guardians.

Visible Email Address *

It is OK for Dave Martocchio to send bulk emails to the parents/guardians of his students where my email address is visible. I need my email address to be kept from being seen by other parents/guardians. I request Dave Martocchio to Blind Carbon Copy me when sending bulk emails.

Lunch *

My child will sometimes eat a school lunch and sometimes bring a lunch from home. My child will always or almost always bring a lunch to school from home. My child will always or almost always eat a lunch provided by the school.

Sharing, Giving, Trading *

My child CAN share, give, and/or trade food, collector cards, toys, money, etc. with other students who also have permission. My child CAN NOT share, give, and/or trade food, collector cards, toys, money, etc. with other students. My child CAN ONLY share, give, and/or trade food, collector cards, toys, money, etc. with other students only when I give specific permission for each occurance.

FIRST WEEK CONFERENCE
If you would like to have a conference with Mr. Martocchio during the first three days of school, please click here or go to http://www.instructordave.org/schedules.html. You are not required to have a conference with Mr. Martocchio.

Please describe your idea(s). *

Please list anything that you think would be beneficial for Mr. Martocchio to know about your child. *

Comments, Additional Information, Thoughts, etc. *

Thank you! I look forward to working with you and your child this year.

Mr. Martocchio