Syllabus Parent Information Form
Contact Info
Email address
Student First Name
EX: Cheri
Your answer
Student Last Name
EX: Whalen
Your answer
Student ID #
EX: #024420
Your answer
Class Period
Choose One
Parent/Guardian(s) First name, Last Name
EX: Jane Doe
Your answer
Home/Main Phone Number
EX: (512)-123-4567
Your answer
Cell Phone Number or Alternate Phone Number
EX: (512)-123-4567
Your answer
Parent Email
Your answer
Second Parent Email
Your answer
Student School Gmail
Your answer
Other Information, if any
EX: Any needs or information that will help me provide an optimal learning environment for your student
Your answer
I have reviewed the syllabus with my parents/student, and asked them to complete this form
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