Chemistry Parent Information

To be filled out by a parent or guardian. This information will only be able to accessed by Ms. Duncan.
Student Name (Last, First) *
Your answer
Student's Preferred Name *
Your answer
Class Period *
What is the best e-mail address for contacting your child? *
Your answer
Primary Parent/Guardian Name (Last, First) *
Your answer
Primary Parent/Guardian E-mail Address *
It is expected that you will check this e-mail daily as this will be my first method of contacting you.
Your answer
Primary Parent/Guardian Phone Number *
Your answer
Secondary Parent/Guardian Name
(Optional)
Your answer
Secondary Parent/Guardian E-mail Address
(Optional)
Your answer
Secondary Parent/Guardian Phone Number
(Optional)
Your answer
Does the student have internet access at home? *
Emergency Contact Information *
Name & cell phone number (will only be used in case of an emergency)
Your answer
Please describe anything that you would like me to be aware of to help me better educate your child.
(Optional)
Your answer
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