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Parent Back to School
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* Indicates required question
Student Name (Last Name, First Name)
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Your answer
Parent Name(s)
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Your answer
Parent Primary Email
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Your answer
Parent Phone Number between 3:30-5:00 PM
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Your answer
Do you have internet access at home?
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Your answer
Does your child have any special needs that could impact his/her learning (IEP, 504, Medical)? Please share.
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Your answer
If your child falls behind in class, do I have your permission to retain them after school for assistance?
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Your answer
How often do you check your child's grades?
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Your answer
Please provide your email if you would like to sign up to receive weekly email communications from me. These communications will be general notices regarding upcoming class assignments, tests, and projects.
Your answer
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