Parent & Guardian Feedback & Syllabus
Dear Parents and Guardians,

Thank you for taking the time to fill out this form. I truly value the information you're able to provide me about your student(s). As we embark on the school year, it's imperative that I learn as much about my 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

STUDENT'S LAST NAME *
Your answer
STUDENT'S FIRST NAME *
Your answer
LAST NAME (Parent or Guardian) *
Your answer
FIRST NAME (Parent or Guardian) *
Your answer
Prefix - Mr., Mrs., Mx, etc. (Optional)
Your answer
Second Parent or Guardian (Optional)
Your answer
Best EMAIL Contact *
Your answer
Best PHONE NUMBER to reach you at? *
Your answer
Relation to Student (Optional)
Your answer
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? *
Is there anything important you would like me to know about your student?
Your answer
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.
I am aware of the films that may be shown in this class and am comfortable with my student viewing them. *
If you responded "No" to the previous question, please select the film(s) you are not comfortable with your student viewing.
Class Syllabus
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. *
Your answer
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