Student/Parent Registration Form
Please fill this form out WITH your Parent/Guardian after reading through the syllabus together (found on mrmaloney.com). Submission of this form will count as your first homework assignment. If you do not have access to the internet at home, that is fine. Please print this form and fill it out at home, and return it to me (or you can enter the info during the next class).
First Name *
Your answer
Last Name *
Your answer
Select Your Class *
Enter Your Email *
Even if you already gave it to me (maybe it changed)
Your answer
Name you would like to be called
Your answer
Pronoun you would like used *
Which ways do you think you learn best. *
check all that apply
Required
Which ways of learning are most fun to you. *
check all that apply
Required
Where do you prefer to sit *
Required
What are you most excited about this year? *
Your answer
What are you most anxious about this year? *
Your answer
Student: What are your goals for this class this year? *
Your answer
Parent/Guardian: What are your goals for your student this year? *
Your answer
What kinds of stuff do you do after school? *
Your answer
Is there anything else you would like me to know about you?
For example, do you have trouble with certain areas of reading, writing or math? Are you easily distracted when you sit near your friends, and if so who are they so I can keep them away from you, I promise I will not tell them you did not want to sit near them.
Your answer
Enter Your Parent/Guardian's Name *
Your answer
Enter Your Parent/Guardian's Email
Your answer
Enter a Phone Number to contact your Parent/Guardian at *
Your answer
Preferred contact method? *
Is there anything else you would like to know about me or the class?
As a starter, I have 34 tattoos I think, depending on how you count them ... and it is hard for me to see my back.
Your answer
My Parent/Guardian and I have gone over the course syllabus together and we understand what is expected of each of us. *
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