Parent Information
Please enter your contact information so that I can keep you updated on your child's progress in my class.
Question 1 *
Parents Name(s)
Your answer
Question 2 *
Name(s) of your child(ren) that I teach
Your answer
Question 3 *
email address
Your answer
Question 4 *
daytime phone number
Your answer
What is the best way to get a hold of you? *
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This form was created inside of Eureka Public Schools Dist #13.