2017-18 Syllabus Digital Signature Form
Copies of the syllabus have been handed out in class for students and parents/guardians to review. The syllabus can also be found in our Google Classroom and our class website at www.msmackenzie.com. Your electronic signature on this form will serve as proof you've read and agreed to the hard copy of our class syllabus.
Student Information
Student's ID Number *
Please type your SDUHSD student ID number
Your answer
Student FIRST Name *
Please type the Student's FIRST NAME
Your answer
Student LAST Name *
Please type the Student's LAST NAME
Your answer
Student Email Address *
Your answer
Which class are you in? *
Check on your schedule to make sure you enter the correct class name.
Which period is your class? *
Check with your schedule to make sure you enter the correct period number.
Primary Parent/Guardian Contact Information
Please provide current phone numbers and email addresses for your primary parent/guardian.
Name *
Last name, First name
Your answer
Primary language: *
Required
Email address *
Your answer
Phone number *
Example: (619) 234 - 5678
Your answer
What is the best time to reach you (by phone)? *
Example: 5:00pm - 8:30pm
Your answer
Preferred contact method: *
Required
Secondary Parent/Guardian Contact Information
Please provide current phone numbers and email addresses for your secondary parent/guardian.
Name *
Last name, First name
Your answer
Primary language: *
Required
Email address *
Your answer
Phone number *
Example: (619) 234 - 5678
Your answer
What is the best time to reach you (by phone)? *
Example: 5:00pm - 8:30pm
Your answer
Preferred contact method: *
Required
Secondary Parent/Guardian Contact - Email
Should I send all emails to primary and secondary email?
Electronic Signatures
Please check the boxes and type your name to indicate you understand the syllabus and class expectations.
Receipt and Understanding of Syllabus *
Parent(s)/Legal Guardian(s) and Student have received, read, and understand the entire syllabus.
Required
STUDENT Electronic Signature *
By entering your (the student) first and last name, you are indicating that you (the student) understand and accept the guidelines and policies of this class.
Your answer
PARENT/LEGAL GUARDIAN Electronic Signature *
By entering the first and last name of parent/legal guardian, you are indicating that you (parent/guardian) understand and accept the guidelines and policies of this class.
Your answer
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