Please provide the student's period number for my class.
Parent/Guardian Name *
Please provide the parent or guardian's first and last name.
Your answer
Parent/Guardian Email *
Please provide an email address in case Mrs. Young needs to contact you.
Your answer
Parent/Guardian Phone Number *
Please provide your preferred phone number in case Mrs. Young needs to contact you.
Your answer
Movie Permission *
On rare occasions, students may be given the opportunity to watch movies that are rated either PG or PG-13 (such as "Rudy" and "National Treasure"). If you choose to disallow this, your child will be given an alternate assignment.
Additional Information
If there is any information you'd like Mrs. Young to know, please provide it here. Thank you.
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