Parent Contact Information
Please fill out your contact information so I can get in touch with you if necessary.
Student Information
What is your child's last name?
Your answer
What is your child's first name?
Your answer
Homeroom Teacher
Does student have reliable internet access at home?
Parent Contact Information
What is your last name?
Your answer
What is your first name?
Your answer
What is your role?
Best Contact Method(s)
Check all the apply
Required
Parent/Guardian's Email Address
Your answer
Would you like to receive email updates for homework and other announcements?
If you choose yes, you can opt out later if you feel you are receiving too many emails. There will be no more than 2 per day.
Parent/Guardian's Home Phone
xxx-xxx-xxxx
Your answer
Parent/Guardian's Mobile Phone
Your answer
Would you like to receive text message updates?
If you choose yes, you can opt out later if you feel you are receiving too many texts. Text messages will be sporadic and only be used for quick updates or announcements. Standard text messaging fees apply.
Please "sign" this form by typing your first and last name again.
Your answer
Today's Date
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