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.
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Willing to volunteer?
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