Parent & Guardian Feedback & Syllabus
Dear Parents and Guardians,

Thank you for taking the time to fill out this form. I value the information you're able to provide me. As we embark on the 2021/2022 school year, the information you provide will help me get to know and support your students as quickly as possible. There is a class syllabus attached to this email. Please look it over and provide and electronic signature at the end of this form. I look forward to getting to know you and your student(s) this year.

Thanks,
Mr. Gillette
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STUDENT'S LAST NAME *
STUDENT'S FIRST NAME *
LAST NAME (Parent or Guardian) *
FIRST NAME (Parent or Guardian) *
Prefix - Mr., Mrs., Mx, etc. (Optional)
Second Parent or Guardian (Optional)
Best EMAIL Contact *
Best PHONE NUMBER to reach you at? *
Relation to Student (Optional)
Does your student have regular access to a computer and internet at home? *
Does your student have the ability to print work from home? *
Does your student have an IEP or 504? *
What are your goals and expectations for you student in my class?
Is there anything important you would like me to know about your student?
Syllabus Signature Sheet
Please review the movie list and opt out of having your student view the movie by selecting it on the list below. Your student will be provided an alternative assignment.
Class Syllabus
Please review the class syllabus before signing below.
https://bit.ly/GillettePTMSSyllabus
I have read the class syllabus and understand the class policies and behavior expectations. *
Please type your full name below if you answered "Yes" to the previous question. *
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