Lenart 6th-8th ELA/SS
Please provide your contact information for Ms. Smolen. Thank you.
Student's Name *
Your answer
Grade for School Year 18/19. *
Parents/Guardians *
EX: Bob & Sue Smith; Mindy Hill and Robert Dale
Your answer
Best contact phone number:
EX: 773-555-5555 (mom); 312-555-5555 (dad)
Your answer
Preferred email address/addresses for class newsletters:
Your answer
Preferred method of contact:
Allergies? Medical Concerns?
Your answer
If you would like to provide me with any additional information about your child, please do so here.
It will remain confidential.
Your answer
Willing to volunteer?
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