2021-2022 12th Grade _Parent/Guardian Contact Information

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PARENTS/GUARDIAN: Please complete this form ONLY if your student will be in 12TH GRADE for the 2021-2022 school year as a method of the Warrior Yearbook contacting families with any relevant information. Please email Ms. B at brandt-asciollash@nassau.k12.fl.us (not through Focus) with any questions.

Email *

This student will be in 12TH GRADE for the 2021-2022 school *

Yes

No (I will find the correct form to complete)

2021-2022 12th Grader Student Name (First, Middle, Last) *

Parent/Guardian #1 Name *

Parent/Guardian #1 Email *

Parent/Guardian #1 Phone Number *

Parent/Guardian #2 Name

Parent/Guardian #2 Email

Parent/Guardian #2 Phone Number

Is this student on campus or distance learner?

On Campus

Distance Learner

Clear selection

I am aware of the Warrior Yearbook Summer Specials: https://www.nassau.k12.fl.us/Page/4693

Yes - I have clicked the link and read the information

No - I will click the link and read the information

Clear selection

I am aware my student needs to make an appointment with Leonard's Studio for their Senior Photos (1-888-224-5045)

Yes - I have called and scheduled an appointment

No - I will call and schedule an appointment

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

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