Parent/Guardian Contact Info

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Thanking you for taking a few minutes to complete this form. The information you give me here will help me to communicate with you more efficiently, which should help in keeping you informed about what your student is doing, and how you can be helping them. In the event that I need to contact you for any reason, this will be the first place I go to figure out how to get in touch. Many Thanks!

Student's Last Name: *

Student's Preferred First Name: *

Period your Student takes my Class *

Parent/Guardian 1 (Primary Contact)'s Name (first & last): *

Example: Jane Doe

Parent/Guardian 1 (Primary Contact)'s Email Address: *

Parent/Guardian 1 (Primary Contact)'s Phone: *

Parent/Guardian 2's Name (first & last):

Example: John Doe

Parent/Guardian 2's Email Address:

Parent/Guardian 2's Phone:

What do you see as your student's strengths? Any areas where they need to grow?

Are you ever available/interested in helping out with our class in any of the following roles?

(Please check all the apply)

Guest Speaker (please note on what topics in the last question below)

Driver/Chaperone for Field Trips

Donating Gift Cards, Prizes for various Competitions, Activities

Hosting (a class gathering, event, etc.)

Other:

Anything else you would like me to know about you, your family, or your student? Thanks!

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