Student-Parent Information 2017-2018
For any questions that do not apply to you, please put NA. Do not leave any blanks.
Student Last Name *
Your answer
Student First Name *
Your answer
Student Address *
Please include city and zip code.
Your answer
Student Email Address *
Please put your gmail account address.
Your answer
Student Cell Phone Number *
Please include area code in this format. Example: (111) 111-111
Your answer
Student Home Phone Number *
Please include area code in this format. Example: (111) 111-111
Your answer
Father/Guardian's Last Name *
Your answer
Father/Guardian's First Name *
Your answer
Father/Guardian's Address *
Please include city and zip code
Your answer
Father/Guardian's Cell Phone Number *
Please include area code in this format. Ex: (111) 111-1111
Your answer
Father/Guardian's Home Phone Number *
Please include area code in this format. Ex: (111) 111-1111
Your answer
Father/Guardian's Email Address *
If no email address, please put NA.
Your answer
Mother/Guardian's Last Name *
Your answer
Mother/Guardian's First Name *
Your answer
Mother/Guardian's Address *
Please include city and zip code.
Your answer
Mother/Guardian's Cell Phone Number *
Please include area code in this format. Ex: (111) 111-1111
Your answer
Mother/Guardian's Home Phone Number *
Please include the area code format. Ex: (111) 111-1111
Your answer
Mother/Guardian's Email Address *
If no email, please put NA.
Your answer
Course(s) Student Enrolled In *
Select all of the courses in which the student is enrolled.
Required
Parent/Guardian Signature *
This is your electronic signature. By entering your name in this location, you are agreeing that you have read and understand all of the information sent home with the student, including but not limited to: class rules, expectations, supplies, grading policy, Student Acceptable Use Policy, etc.
Your answer
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