Please fill out the following information for each class your child attended. If you have multiple children enrolled in the co-op, you will need to complete and submit this form for each child. We welcome your comments and appreciate you taking the time to help make IMPACT a better co-op for you and your family.

Student Information
Student Gender		Student Age
Male Female

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Zero/1st Hour Class Title:
No Class Biology 1st Hour Preschool Human Body Music Adventures Backyard Science Nutrition/Exercise Sabre/Epee Pen 'n Ink/Watercolors Letters of the Civil War Fallacy Detectives
What Your Student Liked Most:	What Your Student Liked Least:
Was this class geared to the proper age level?	Would you recommend this class if it was offered again?
YesNo	YesNo
Suggestions for improving the class:

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2nd Hour Class Title
No Class 2nd Hour Preschool Young Rembrandts/Drawing True Stories Signing Times Books Girls will be Girls Strings Pirates Nutrition/Exercise Juggling WAL
What Your Student Liked Most:	What Your Student Liked Least:
Was this class geared to the proper age level?	Would you recommend this class if it was offered again?
Yes No	Yes No
Suggestions for improving the class:

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3rd Hour Class Title
No Class 3rd Hour Preschool Life with Abe Hand Sewing Young Rembrandts/Cartooning Beg/Int Foil Embroidery Chemistry Physical Science Machines/Engineering
What Your Student Liked Most:	What Your Student Liked Least:
Was this class geared to the proper age level?	Would you recommend this class if it was offered again?
Yes No	Yes No
Suggestions for improving the class:

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Contact Information (Optional):
Name
E-mail
Phone

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