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Parent Information Contact Form Spring 2014
Please fill out this form for each Parent/Guardian responsible for your child
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
Your answer
Parent Full Name
*
Please include your title. (Mr. Ms. Mrs., etc.)
Your answer
Email Address(es)
*
Where you can be reached
Your answer
Phone Number(s)
*
Where you can be reached
Your answer
May I text you concerning your child?
*
If so, which number?
Your answer
Will your student be able to access the Internet from a home computer?
*
Please check all that apply
Yes, on a home computer
Yes, on a mobile device with Internet
Yes, at a friend's house
Yes, at the local library
Yes, at a relative's house
Sometimes
No.
Required
Will the student be able to access the Internet during school?
*
For teacher-sanctioned activities?
Yes
No
Sometimes
Required
Will the student be able to come before or after school for extra help if needed?
*
Check all days that apply
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Required
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