Mrs. Anderson Disclosure Signature Page

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Email *

Student First Name *

Student Last Name *

Parent or Legal Guardian Name *

Student Grade *

7th

8th

9th

Class the Student is in (please check all that apply) *

A1: Drama FOUNDATIONS

A2: Drama and FIlm

A3: Drama FOUNDATIONS

A4: Drama 1

B5: Drama 2

B7: StageCRAFT

B8: Stage Crew

Required

Parent Email

Parent Phone number

Best to reach by *

Phone

Other:

In the following space, please explain any learning challenges that your student may have that will help me help them. This info is optional and confidential and will only be used to benefit your student. I am interested in making every kid successful (If your student has an Individual Education Plan "IEP" or 504 you may wish to make me aware of that so I can research that now. Also if your student uses specific pronouns you would like me to know)

Please Check the appropriate box for your child's Participation in the different film studies that may be used in the class: (this information can be found on the disclosure document of your class on page 2)

website to disclosure documents

YES my child is able to participate in all the films included as a part of this course

I would like my child to NOT watch the some of the films listed *Please list them in the other option below

Other:

Required

I Understand that my student is to do a Play Report, Film Report or Listening Log each term (depending on the class I am involved in) *

Yes

I understand that if my child is in Stage Crew, Stage Craft, Musical Theatre or Drama 2 there are additional required hours that will be spent after class time *

Im not in those classes

Yes

I understand that my child's grade will fluctuate throughout the semester as they show Mastery in the different Standards of Theatre. This also includes Citizenship. **ALL GRADES ARE NOT FINAL UNTIL THE END** *

Yes

I'm Confused and would like further explanation. Please email me.

Please click YES if you have read the disclosure document with your student and you both understand the rules and regulations that govern this class including the school attendance policy. *Please note that If you do not contact Mrs. Anderson in the next to weeks and you do not turn in the signature page or this form, it is legally assumed that you agree to abide by the rules and objectives in the class* *

Yes

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