Student Information Sheets
First Name *
Your answer
Last Name *
Your answer
Grade Level *
Birthday *
MM
/
DD
/
YYYY
What Period(s) do you have Mr. Gauthier *
Required
Parent (Guardian) Name *
Your answer
Parent (Guardian) Cell Number *
Your answer
Parent (Guardian) Email *
Your answer
Student (your) Email *
Your answer
Clubs / Organizations / Sports *
Your answer
Hobbies *
Your answer
Personal Illness/Meds (Leave Blank if None)
Your answer
Computer at Home *
Internet Access at Home *
Current Math Class *
Required
Transportation to and from School *
Password for your Class Account *
Your answer
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