PARENT CONTACT FORM 2017-2018
Student's First Name
Your answer
Student's Last Name
Your answer
Student's Home Address
Your answer
Student's Home phone
Your answer
Student's Allergies
Your answer
Father's Full Name
Your answer
Father's Cell Phone Number
Your answer
Father's email address
Your answer
Mother's Full Name
Your answer
Mother's Cell Phone Number
Your answer
Mother's Email Address
Your answer
What else would you like us to know about your child?
special interests, hobbies, learning styles, etc.
Your answer
Emergency contact #1
name, phone number, email
Your answer
Emergency contact #2
name, phone number, email
Your answer
Permission to Share Email Address
Throughout the year the homeroom parent will need to contact you with information regarding our class parties.
Photo / Video Permission
Throughout the year, our class will be participating in educational opportunities in which we will be taking photos or making videos of the students. We will be skyping and talking to authors and scientists.
Permission to Publish Work
I give permission for my child's work to be published on the teacher's, school's, or student's webpage
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